Review Lifecycle

The lifecycle of the review depends upon the configuration of the associated business object. The base package includes review business objects that are specific to appeals and audit cases that have the same simple lifecycle, as follows:

• The review is initially created in the Pending state.
• A Pending review may be manually transitioned to Canceled.
• The user can manually transition the review to the In Progress state once key information has been recorded or dates have been set. A review that has transitioned to In Progress cannot be canceled—it must progress through the Response Recorded and Closed states. A monitoring algorithm can be configured to check whether the review has been waiting too long in the pending or in progress states. Base algorithm C1-RVW-TDRPD provides an example of this logic.
• The user can manually transition the review to the Response Recorded state when a decision has been reached and the review has been updated with the appropriate review response code. A monitoring algorithm can be configured to automatically transition the review to the Response Recorded state when the review decision date has been populated and is on or before the business date. Base algorithm C1-RVW-TRTRR provides an example of this logic.
• The user can manually transition the review to the Closed state once all activities are complete. An algorithm can be configured to complete all open to do entries that are linked to the review. Base algorithm C1-RVW-CMPTD provides an example of this logic.