Pending batches #45

The extended health module allows for managing the overall bundles associated claims for each member or insured person. A bundle corresponds to one or several claims being transmitted together.

For management purposes, through out the claims administration module, a bundle will be called a batch, and this batch can be processed in sequential order from a pending listening of batch. At that point, the processed batch will become history information.

As long as a batch remains pending, it will be possible to make modifications. On the other hand, once processed, it becomes a part of the history file.

It is of the most strategic importance for an administrator to be able to manage specific annotations on each file. Thence, Allegroupe enables him to capture annotations on members, their spouses, their children and on each batch or, ever better, on specific items. This activity allows for the gathering and consulting, as needed, of individual annotations when business or manual adjudication decisions are to be taken if a situation requires them.

Due to the importance of annotation on files Allegroupe allows for 2 levels of annotations. The first is standard basic annotation; the second level is high priority notes. These notes will automatically pop up whenever the member, spouse, children batch or item is call upon. This will insure to that sound management can be found quickly and at the point ratherly.