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Knowledgebase : MoU Prepayments

After the claim pre-submission night ie: Monday night, users can complete an advanced search for VHI claims that were _NOT_ pre-submitted to the Insurer as they did not meet the criteria for pre-submission.  Advanced search outlined below;  * Advanced ...
In order to do that, you need to be on version V3R8D25 or later of Claimsure.   In order to find all the "Pre-Submitted" claims for the week, you can run an advanced search for all the claims that were pre-submitted during the week. For example, if yo...
CLAIMS ELIGIBLE FOR PRE-PAYMENT Hospital with billing interface: Once a pre payment file is placed in the shared folder file is processed and claims that are not fully submitted will have the submission due date populated on Claimsure. Pre Payment amo...
A claim is considered at risk if: * the claim was pre-submitted * the claim is still un-submitted * the submission due date is getting close In order to find those claims, you can on the Advanced Search: * Check the box "Pre-Submitted" * On...
A share folder has been set up by your IT in order to allow you to drop the pre-payment file to the share folder. In order to get correctly uploaded to the share folder, please follow the steps below: * Download the zip from VHI website. The zip fil...
If you do not see the submission due date populated on Claimsure after dropping the pre-payment file, ensure that the claim is not submitted to insurer and the claim is pre-submitted, otherwise the submission due date will not display on Claimsure. If th...
MOU VERIFICATION STEPS. Below outlines the steps in order to perform MOU verification each Tuesday morning. This must be completed as early as possible to allow for any failed submissions to be reran in time for the VHI file pickup at 11:00am. SlainteV...
On Claimsure V3R8D24, because the MoU pre-payments are only on the background when the claim is un-submitted, a report is generated to let the users know about these payments. This report is called "WeeklyReport" but will be generated every 1st day of t...
To get selected for pre-submission a claim: * Must have a discharge date * Must have a hospital invoice attached to the claim * Must have a hospital invoice number * Must have a value for the hospital invoice value * Must have a numeric insura...
The VHI is responsible to put the files available for the users to download. For any questions related to when the files will be available, please contact MoUSupport@vhi.ie