The Claims Out of Balance report lists all claim records with an outstanding balance and is grouped by the adjuster. All out-of-balance records that do not have the Adjuster field set in Claim Detail will all be grouped and totaled under the “<no adjuster>” heading.
All the information that a user needs to evaluate the status of claim settlement(s) is viewable from this report.
Parameters
Parameter |
Description |
Adjuster |
Select *(all) to include all adjusters in the report, otherwise select adjusters individually. |
Report Details
Report Grouping
The report groups by Adjuster.
Header Information
No header information displays.
Detail Information
The following table describes the fields that display on this report.
Field |
Description |
Claim Number |
The identifier assigned to the claim displays. |
Order Number |
Order Number associated to the claim displays. |
Opened Date |
The date the claim record was added to the system displays. |
Claimant |
The payee of the claim as set within First Name and Last Name fields in Claim Detail display. |
Claim Status |
Status of the claim as set through the Status field in Claim Detail displays. |
Settlement |
The total dollar amount of all Settlements items displays in this column. |
The total dollar amount of all Receivables items displays in this column. | |
The total dollar amount of all payable items set within Liabilities/Chargebacks displays in this column. | |
Applied |
The total dollar amount of all applied chargeback items displays in this column. |
Balance |
The Balance represents the dollar amount needed to satisfy the claim. A zero amount indicates the claim is settled and a positive balance indicates that more money is needed to settle the claim, and a negative balance amount (in red) indicates an overpayment. The application computes the Balance as follows: Total amount of all Settlement items LESS Total amount of all Receivables items LESS Total amount of all Chargeback payable items PLUS Total amount of all applied Chargebacks EQUALS the Balance
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Report Totals
The report provides the following total counts:
• Total Claims for each Adjuster and for the entire report
• Total Balance for each Adjuster and for the entire report