Manual Claim Override

Manual Claim Override

Approve Override Procedure

  1. In the Claim, click Approve Override.
  2. Update the pricing amounts in the Approved column as needed.
  3. Click Approve.

Reject Override Procedure

  1. In the Claim, click Reject Override.
    1. Click OK on the pop-up.
  2. Select the Approval/Authorization Reject code from the list of values.
  3. Enter Reject Text if applicable.
  4. Click Reject.
  5. If a new Claim needs to be created, click Save As New.
    1. The original Claim will remain in Rejected status.
    2. A new Claim Number will generate, and the new Claim will go into Saved status.
  6. Update claim information, click Save, then click Submit.