Claim Feature Default is used to set up, by company / state / line of business, coverage and sub-coverage information that is used in the Multiple Feature / Coverage Set Up in the Claims System. Coverages and sub-coverages established here are assigned to a group.
To access the Claim Feature Default:
From the Company Configuration Tool Tree View, select Claims / Feature Defaults.
This returns the Claim Feature Defaults screen.
From the Claim Feature Defaults screen:
Click the Add button.
Once the Claims Feature Default Setup screen displays, make the following entries and selections:
Description: Enter the name of the claim feature default.
Company / State / LOB: Select the company / state / line of business associated with the claim feature from the combo box.
Coverage: Choose the type of coverage from the combo box.
Sub-Coverage: Based on the coverage chosen, select the sub-coverage associated with the coverage.
Click the Add button. The coverage / sub-coverage is added to the Grid View at the bottom of the screen.
Repeat the procedure to add all coverages / sub-coverages contained within the claim feature default.
To remove a coverage / sub-coverage combination, highlight the line item in the Grid View, and select the Remove button. Answer Yes to the question: "Remove item from the list?" The line is deleted from the Grid View.
When finished, click Save. The Claim Features Default screen returns with the claim feature added in the Grid View.
For every company / state / line of business you want to set up with a claim feature default, repeat the procedure outlined above.
To edit a claim feature default:
From the Claim Feature Defaults screen, highlight the claim feature default in the Grid View.
Click the Edit button or double click the highlighted claim feature default.
Once the Feature Default Setup screen displays, make the following entries and selections:
Description: Change the name of the claim feature default, if necessary.
In the Grid View at the bottom of the screen, highlight the coverage / sub-coverage combination and either double click or select View. This defaults the coverage / sub-coverage in the combo boxes in the upper part of the screen.
Change the sub-coverage associated with the coverage and click the Update button. The change is made and shown in the Grid View at the bottom of the screen.
To remove a coverage / sub-coverage combination, highlight the line item in the Grid View, and select the Remove button. Answer Yes to the question: "Remove item from the list?" The line is deleted from the Grid View.
If additional coverages / sub-coverages need to be added, select a coverage from the combo box and select a corresponding sub-coverage. Click Add. The combination is added to the Grid View.
When finished, click Save. The Claim Features Default screen returns.
From the Claim Feature Defaults screen:
Highlight the claim feature default in the Grid View.
Click the Delete button.
Answer Yes to the question: "Delete Default?"
The claim feature default is removed from the Grid View.