Claims Product Release Note for Friday 9th December, 2022

  1. Auto mapping should pick the variation of already mapped similar medications
  2. Create action to push vetting result as a single claim to Jubilee Tanzania CMS
  3. Results of Individual Claims should be returned to CMS immediately after vetting
  4. Users should not experience token expiry when they are actively using the platform
  5. Fix for Issue with bulk upload on creating claims under Provider Portal where the User is unable to re-submit a failed uploaded file after making corrections on the file.
  6. Create action to Pull Claims from Jubilee TZ CMS Database
  7. Migrate the Provider Tariff Module on the HMO Module to the New Repo

  1. Migrate the HMO Report Filters (Claims, Claims Vetting & Onboarding Report Filters) on the HMO Module to the New Repo

  1. Migrate the HMO Tariff Editor Module on the HMO Module to the New Repo

  1. Migrate the Tariff Module on the HMO Module to the New Repo
  1. Create Additional Fields to the Enrollee List View on the HMO Portal for UAP

  1. Add a Toggle and Scrollable Div to the Enrollee List Details for UAP on the HMO Portal

  1. Update the Enrollee Card Details to Show the Partner Bank the Enrollee is Attached To

  1. Enrollee Detail View for Provider Portal for UAP Partner Banks

  1. Add a View Button on the Enrollee List Module on the Provider Portal

  1. HMO Setting to Control the Submission of Duplicate Claims by Providers.

  1. Error Alert Notification for Duplicate Claim Submission on the Provider Portal

  1. Add a Date Range Filter to the Claim Submission Module on the Curacel Ops Portal

  1. Ability to Filter by HMO on the Claim Submission Module on the Curacel Ops Portal

  1. Ability to Export the Weekly Claims Submission Data on the Curacel Ops Portal

  1. Fix for Inability to generate ID card on first click on Generate ID CTA button
  2. Fix for Icons not loading on the deployed new frontend repo
  3. Settings Permission that allows HMO control Enrollee Detail View on Provider Portal

  1. Curacel Admin Ability to Filter HMO Piles by Submitted Date on Nova

  1. Curacel Admin Ability to Filter HMO Piles by Encounter Date on Nova

  1. Create Additional Column for Claims Count on the HMO Piles Module on Nova

  1. Make Loan Series and Account Number as Unique Identifier during Enrollee Upload on UAP Insurer Account

  1. Add Confirmation Prompt During Enrollee Bulk Upload for the Check Box Options on the HMO Portal

  1. Resolve for Duplicate Providers on Nova

  1. Create a New Module on the Curacel Ops Portal for Weekly Claims Submission

  1. Fix for Error Exporting Enrollee List After Redirecting from the Enrollee Count Column on the Client Overview Module on the HMO Portal

  1. Fix for HMO Dashboard Statistics not returning Accurate Data

  1. New set of CMS columns should be utilized when a claim is pulled
  2. Data Set Validation for the Client Contact Number and Account Number Columns for UAP Enrollee Upload
  3. Curacel's Insurer Survey Campaign

  1. Curacel's Provider Survey Campaign

  1. Add Display Stats for Total Number of Enrollees on Provider Portal

  1. Fix for HMO Inability to choose services on migrated PA creation form