Resurrecting Rejected Claims (AG)


To resurrect an incorrectly rejected claim, consider steps 1 to 6 below

1Create a copy of the rejected claim on the computer.  To do this


Select 'Application' from the toolbar menu

Select 'Correction' from the options available

  • Enter the claimant's NINO in the Key Entry Data - Applicant screen
  • Click on the [OK] button. The following message will be displayed ‘Details must be entered in Capture Application function’
  • Click on the [Yes] button. You will be taken to Function CAPTURE APPLICATION

Then

  • Go to the Log screen and click on the [Store] button. This will
  • Store a copy of the rejected claim on the computer
  • Create a copy for you to work on

And

  • Create an entry on the 'Incomplete Applications' Work List
2Do you require further information in order to process the claim
  • Yes, go to step 3
  • No, go to step 5
3In Function CAPTURE APPLICATION go to the Summary Information screen and establish what previous action has been taken and what information is still required to process the claim. Check
  • The Repair Summary field for details of errors

And

  • The Application Notes field for details of previous action taken

Then

  • Check the
  • Income screen
  • Payment screen

And

  • Any manual clerical notes or information on the Claimant Compliance Management Information System ( CCMIS) if appropriate

Then

  • Go to step 4
4Contact the claimant for the information that you need to process the claim. Follow the guidance in Contacting The Claimant and Manual Reminder Cycle
  • If you obtain the missing information, go to step 5
  • If you are unable to obtain the missing information, go to step 6
5In Function CAPTURE APPLICATION enter the missing information on the relevant screens
  • Update the Application Notes field in the Summary Information screen with the following text

‘TCMZ Claim reviewed following incorrect rejection’

Notes:

You must follow the guidance in How To Correctly Complete Application And Household Notes when you record the note

And also

Follow the guidance in Application Notes

Then

  • Continue to process the claim. Take no further action
6If you are unable to obtain the missing information, take the following action

Or

  • Extend the action date if the claimant has requested more time to get the information that you need