Editing a Discrepancy Line Item

Prerequisites

To edit a discrepancy line item, you should have:

  • Discrepancy category defined in the application.

Procedure

To edit a discrepancy line item:

  1. Search for the discrepancy report in the Discrepancy Report screen.
  2. In the Search Results section, click the link in the Discrepancy Report Information column corresponding to the discrepancy report, whose details you want to edit.

    The Discrepancy Report Information screen appears.

  3. Ensure that the Main tab is selected.
  4. In the Discrepancy Line Items zone, click the Edit (The Edit Icon) icon in the Edit column corresponding to the discrepancy line item whose details you want to edit.
    The Discrepancy Line Item screen appears. It contains the following fields:
    Field Name Field Description Mandatory (Yes or No)
    Discrepancy Report ID Displays the discrepancy report ID. Not applicable
    Account ID Indicates the account for which the discrepancy line item is created. Not applicable
    Policy Number Indicates the policy number. Not applicable
    Plan Number Indicates the plan number of the policy. Not applicable
    Payor Identifier Type Displays the payor identifier type.
    Note: This field appears when you generate discrepancy report for fully-insured individual business.
    		 Not applicable
    Payor Identifier Displays the payor identifier.
    Note: This field appears when you generate discrepancy report for fully-insured individual business.
    		 Not applicable
    Health Plan Displays information about the health plan.
    Note: This field appears when you generate discrepancy report for fully-insured individual business.
    		 Not applicable
    HIOS ID Displays the Health Insurance Oversight System (HIOS) ID.
    Note: This field appears when you generate discrepancy report for fully-insured individual business.
    		 Not applicable
    Payment Type Displays the type of tender through which the payment is made.
    Note: This field appears when you generate discrepancy report for fully-insured individual business.
    		 Not applicable
    Subscriber Identifier Type Displays the member identifier type. Not applicable
    Subscriber Identifier Displays the value of the member identifier. Not applicable
    Subscriber Name Displays the name of the member to whom the discrepancy report belongs. Not applicable
    Coverage Start Date Displays the date from when the coverage starts. Not applicable
    Coverage End Date Displays the date till when the coverage ends. Not applicable
    Billed Amount Displays the billed amount when the bill was generated. Not applicable
    Paid Amount Displays the amount which is already paid against the entity. Not applicable
    Discrepancy Amount Displays the amount that highlights the discrepancy. Not applicable
    Discrepancy Category Used to specify the discrepancy category.
    Note: The list includes only those values which are defined in the DSC_​CAT_​FLG lookup field.
    		 No
    Comments Used to specify additional details about the discrepancy line item.
    Note: You can resize the text box depending on your requirement by clicking the Resize Handle (The Resize Handle Icon) icon at the bottom right corner of the text box.
    		 No
    Note: The Edit icon appears when the discrepancy line item is in the Pending or Draft status.
  5. Modify the required details for the discrepancy line item.
  6. Click Save.
    The changes made to the discrepancy line item are saved.

Related Topics

For more information on... See...
How to view the details of discrepancy report Viewing the Discrepancy Report Details
Discrepancy Report screen Discrepancy Report (Used for Viewing)
Discrepancy Report zone Discrepancy Report