Flex Claim Screen





 

Parameter Name

Function

Required

Effective Date/DOS The date of service of the claim may be entered here. Yes
to The most recent date of service (if any) associated with the claim may be entered here. Optional
Transaction Amount The transaction amount of the flex claim may be entered here. Yes
Deposit Plan Year N/A Not Used
Plan Type The plan type of the flex claim is entered here. Yes
Manual Deposit Comments N/A Not Used
MCC Code A 4 digit code that represents the event of the claim. Yes
Merchant ID The operator may enter the Merchant ID associated with the claim here. Yes
Merchant Name The operator may enter the Merchant Name associated with the claim here. Yes
Proc Date The operator may enter the Processing Date here. Optional
Receipt Notification Here the operator may select the receipt notification option. Options include: NONE, SEND, SENT or OK. Optional
Transaction Status Here the operator may select from the pulldown menu any of the transaction status options. Optional


 

Button Name

Function

Edit MCC Codes This opens the Edit MCC Codes window which is also contained in the ADM screen.
Adjudicate All of the options required to input a claim are also required to adjudicate a claim. Click here to apply the Transaction Status you have entered to the claim and pend it for export to the MBI system.


 

Button Name

Function

Save This button closes the Flex Claim Screen, saving the entered information, returning you to the Flex Claim Screen. 
Done This button closes the Flex Claim Screen, without saving the entered information, returning you to the Flex Claim Screen.