Voting Results - IRR CLM897 Identification of a Change within 02 Change Rules
Business Requirement / Issue: The Claims Committee was notified of some challenges with the new 02 change process. A group has been meeting to discuss the challenges. The first priority was around how to properly edit the 02 when the change isn't the expected Change Reason Code and if Adds and Updates must be treated the same. Attached is the proposed Section 4, 02 Change Rules, Identifying Changes portion with changes.
Requester's Proposed Resolution: Enhanced guidelines when determining the validity of a change (See Final Proposed Resolution below for section 4 updates).
Voting for IRR CLM897 completed on Wednesday, December 11, 2019. The proposed resolution was approved along with the implementation timeline.
A total of 22 responses were received consisting of 19 Yes Votes, 0 No Votes and 3 Abstentions. Per the requirements of the IRR process, a two-thirds majority is required for an IRR to be considered approved. The outcome of this vote exceeded the two-thirds requirement with 100% in favor of the proposed resolution.