Manual Review Frenzy

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Across
  1. 2. if the claim was filed AFTER the call took place, where would it be filed?
  2. 5. If a claim was abandoned or denied, the cardholder will then request an appeal for their case to be reviewed again
  3. 7. This would be one of the only instances a call will not be able to be located, why?
  4. 8. You can get the cardholder and filing claim's agent data from here
  5. 11. You will refer to this number to determine which Segment ID you will listen to first
  6. 15. If this is missing you will need to fill out a form to get it escalated to the bank
Down
  1. 1. This section of the form will be filled out from the person working the assignment
  2. 3. If all the Segment ID's are all wrong on tableau, you would then use this number to determine what claim sequence number you will update in Sharepoint
  3. 4. What form will be filled out if there is NO recon interaction to locate?
  4. 6. This system tells you whether the claim is in Epic or CCMS
  5. 9. All claims in scope require an initiation call
  6. 10. This is the number you get after locating a call and updating Sharepoint
  7. 12. This is the amount of auto recon forms you will fill out PER review (if applicable)
  8. 13. This is the number you get after filling out Missing Call Form in Sharepoint
  9. 14. All claims in scope require an initiation and any reconsideration call