20

Specific Claims Recommendation Overrides

Select the desired sorting option by checking the corresponding box. The sample shows the report sorted by policyholder.

Effective
Policy effective date.
Policyholder
Policy holder name.
Pr. Yr. CAP
Whether policy terms for the prior year included the No Laser Option provision.
CAP
Whether policy terms include the No Laser Option provision
Claimant
Who made the claim.
Underwriter
Policy underwriter.
Reviewed By
Who reviewed the claim.
Recomm'd Laser Amt
Recommended laser amount from the ESL Office Underwriting module.
Deductible
Policy deductible.
Claim Received
Whether or not the claim has been received.
TPA Paid
Claim amount paid by the third party administrator.
Allowed
Allowed amount on the claim.
Reimbursed
Amount reimbursed on the claim.