Note: You must have the authority, "Adjust Financials," from those listed in the Claims Financials group.
This process allows users to "transfer" paid and recovery amounts from an existing system into Diamond. In short, it provides a method for a "converted" claim to be manually entered into Diamond.
The option, Adjust Transaction, on the Claim Tree View toolbar is available when the Add button is chosen. When this option is selected, a new transaction loads. When the user selects the category, only the types set up as "Adjustment Types" are available for selection. (Note: Currently in the C0 system, there is a type for each of the payment categories and the four (4) recovery categories. There are no types for reserves and anticipated recoveries.)
The purpose of the Adjustment Transaction is to allow users to enter a change amount to the financials without creating a check and without modifying the End of Period numbers (Month to Date, Year to Date and Inception to Date). This allows a company to pull monthly data from an existing system and from Diamond to get a "Total" amount and not have duplicate amounts for the payments / recoveries that were re-entered into Diamond. It also allows the Diamond System to verify limits for any new payments.
To transfer an amount to Diamond:
Access the claim / claimant / coverage the adjustment transaction is for.
Select the Transaction folder to present a list view.
From the Claim Transaction Toolbar on the right side of the screen, click Add.
Once the drop down menu is displayed, select Adjustment Transaction.
When the Transaction screen displays:
Select the Category and corresponding Category Type from the combo boxes.
Enter an amount.
Enter the reason for the adjustment in the Transaction Remark field.
Click Issue.