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Claims corrections (resubmissions or cancellations)

Change Claims Rejected or Denied Workflow

Every correction needs to be done in a new submission. This mean that every correction is a new claim referring the original claim.

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Steps for a Replacement or Cancellation of a previous claim

  1. Get the claim ID from the claim you want to replace or cancel.
  2. Run rake task to create a new claim:
    • For replacements (i.e: denied claims):
      • rake "finance:resubmit_claim[<CLAIM_ID>, true]"
    • For cancellations (i.e: duplicated claims or accidentally submitted ones):
      • rake "finance:resubmit_claim[<CLAIM_ID>, false, true]"
  3. Submit the new claim (This is optional, pending claims are submitted automatically once a day):
    • Run SubmitClaimsJob.perform_later from rails console or trigger submissions using corresponding payer CreateClaimsJobCreateClaimsJob using resque web scheduled.