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Common - UC 15: Access case details/progress

Updated on January 31, 2022

All through complaint resolution, the system captures and displays a summary of completed work. The system also makes available the member, Claim, Requestor information along with the summary.

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Case summary provides easy access to:

  • Case summary in the complaint details section
  • Requester information
  • Member information
  • Claim information
  • Complaint history information

System also lists all complaints history for the member/Provider.

  • Previous topic Determination - UC 14: Review and research Prescription Drug determination case
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