Claim Bifurcation

Note: Users will need the authority, "Bifurcate Claim," (Claim Detail group) to perform this function. Additionally, the system setting, "Claims Bifurcation" (Claims / General folder) in Diamond System editor must be set to "True" (Enable) to use this functionality.

 

"Bifurcation" involves splitting a claim into multiple claim files. Frequently, insurance / civil matters are bifurcated into separate liability, damages and / or coverage proceedings. Bifurcation can be done at any time during claims processing.

Bifurcating a Claim

From the Claim Tree View, highlight the claim number:

 

 

You have the option of changing any of the claim personnel that was assigned to the original claim.

 

 

At this point, the claim is bifurcated (spilt). The original claim number is used and the bifurcated claim is the claim number in addition to the next available sequence number. The sequence number is added to the original claim number with a hyphen added. For example, an original claim number might be: 2015001. When it is bifurcated, it becomes 20150001-1. Features and transactions from the original claim are not copied when the claim is bifurcated.

Associated Bifurcated Claims

When a claim is loaded, you may view a bifurcated claim by: