TCM1000411 - How to reject a claim due to a verification failure

Version 1.0

Changes to previous version - new guidance.

Step 1

If you only have to reject the claim, go to Step 2.

If you have to reject the claim and inhibit the award notice, go to Step 3.

Step 2

On the ‘Maintain Worklist’ screen

  • select ‘File’ on the toolbar
  • select ‘Next Function’. You’ll be taken to the ‘Work Management - Select Next Function’ screen
  • select ‘Manage Verification’. You’ll be taken to the ‘Manage Verification Failures’ screen
  • select ‘Navigate’ on the toolbar
  • select ‘Reject Application’. You’ll be taken to the ‘Reject Application’ screen
  • select the reason for rejection from the options available

Note: In a joint claim, you’ll select the appropriate rejection reason for each customer.

  • select ‘Add’
  • select ‘OK’. You’ll be presented with the question ‘Are you sure you want to reject this application?’
  • select ‘Yes’, you’ve rejected the claim.

Top of page

Step 3

On the ‘Maintain Worklist’ screen

  • select ‘File’ on the toolbar
  • select ‘Next Function’. You’ll be taken to the ‘Work Management - Select Next Function’ screen
  • select ‘Manage Verification’. You’ll be taken to the ‘Manage Verification Failures’ screen
  • select ‘Navigate’ on the toolbar
  • select ‘Reject Application’. You’ll be taken to the ‘Reject Application’ screen
  • select ‘Inhibit Rejection Notice’

Note: You won’t now be able to add a Reason for Rejection.

  • select ‘OK’. You’ll be presented with the question ‘Are you sure you want to reject this application?’
  • select ‘Yes’, you’ve rejected the claim and inhibited the award notice.