on Nov 5, 2024 at 11:51 AM

APPROVED - IRR CLM949 - Clerical IRR for 2025 Claims R3.1 guide


From: Katia Woerner

User Posts: 22 -

Download Attachment Clerical changes for the 2025 Claims R3.1 guide.pdf 177.37 kB 19 downloads
Download Attachment CLM949 - Clerical IRR for 2025 Claims R3.1 guide.pdf 92.49 kB 16 downloads

Business Requirement / Issue:

From IRR CLM946

  1.  Section 2 – FROI and SROI File Record Layouts
  2.  Section 2 – Page 2.4.5, DN444 is in the wrong place according to the file layout positions.
  3.  Section 2 – Page 2.4.9, DN444 should be above the filler

Other clerical change

  1. Page 4.25 – change the yellow highlighted area to: (code “AW”) (see attached)

Requester's Proposed Resolution:

From IRR CLM946

  1.  Section 2 – FROI and SROI File Record Layouts – fix missing and inconsistent headers on the grid of pages 2.4.2 – 2.4.11.
  2.  Section 2 – Page 2.4.5, DN444 is in the wrong place according to the file layout positions. It should be on page 2.4.4 in part of the existing filler positions.
  3.  Section 2 – Page 2.4.9, DN444 should be above the filler with the correct positions and the filler positions should be adjusted to positions 655-723.  

Other clerical change

  1.  Page 4.25 – change the yellow highlighted area to: (code “AW”) (see attached)
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on Jan 2, 2025 at 11:13 AM

From: Katia Woerner

User Posts: 22 -

We have this listed as a correction for the 2025 guide but separate from this IRR. Thanks for double-checking!

Katia

Richelle L Flores wrote:

Hello.

I don't see the corrections to the guide I reported regarding the Permanent Impairments Segment. This was under 11D in Section 4 where it needed the ", or when Permanent Impairment Body Part Code = 16 - Teeth." That statement is missing under 11D. 

Please confirm that has been addressed in the 2025 update as it was missed in the 2024 update.

Thanks

Richelle



on Dec 26, 2024 at 10:41 AM

From: Richelle L Flores

User Posts: 15 -

Hello.

I don't see the corrections to the guide I reported regarding the Permanent Impairments Segment. This was under 11D in Section 4 where it needed the ", or when Permanent Impairment Body Part Code = 16 - Teeth." That statement is missing under 11D. 

Please confirm that has been addressed in the 2025 update as it was missed in the 2024 update.

Thanks

Richelle

on Dec 24, 2024 at 4:47 PM

From: Katia Woerner

User Posts: 22 -

This clerical IRR is now APPROVED following the final 14-day review period without objection.

on Dec 2, 2024 at 5:06 PM

From: Katia Woerner

User Posts: 22 -

The Final 14 Day Review period for this IRR has begun and will extend through Friday, December, 20, 2024.

Upon completion of this review period, this clerical IRR will be considered "Approved" if there are no concerns or objections.

on Nov 26, 2024 at 4:28 PM

From: Katia Woerner

User Posts: 22 -

Download Attachment IRR CLM949-Clerical IRR for 2025 R3.1 guide.pdf 586.75 kB 8 downloads

Please see the latest document with all the changes attached. We apologize for the issues with getting the files to downloaded. 

on Nov 22, 2024 at 12:51 PM

From: Monica Blackwell

User Posts: 67 -

Download Attachment IRR CLM946 - Clerical issue where DN444 is not correct in the FROI-SROI Record... 137.09 kB 6 downloads

A few more clerical changes have been found.  Attached is the latest document with all changes.

on Nov 22, 2024 at 10:14 AM

From: Monica Blackwell

User Posts: 67 -

We have had a few volunteers already, but please let me know if you would like to help review the 2025 R3.1 guide changes.  Either respond here or send an email to (monica.blackwell@enlyte.com).  

Thank you!