Claim Un-finalization

This feature provides for restriction of unfinalizing a claim. After a claim is finalized, a provider may dispute the outcome and make an appeal. If such a appeal is granted, the claim needs to be unfinalized and reprocessed. The ability to unfinalize a claim with a specific unfinalize reason can be restricted to a select group of people.

Users who have an access restriction for Claim Unfinalization can unfinalize claims if at least one unfinalize reason exists that is linked to that access restriction.

For JET pages additional access to claim unfinalization api is needed. See Access restriction for claims JET pages for details Example::

If a user has an access restriction of type 'UNFIN' (Claim Unfinalization), then he is authorized to unfinalize a claim using unfinalize reasons that are linked to that access restriction.

Inference Prevention

Not applicable.

Related Entities

Not applicable.