On-Us claim processing
Pega Smart Dispute for Issuer support On-Us claim processing for Visa, Mastercard, and American Express.
Pega Foundation for Healthcare
- When a dispute is eligible for On-Us processing, on the Choose a Reason code view, the Issuer can only choose to process liability actions from local actions in case of American Express, Visa, and Mastercard claim processing.
- Upon submitting the Choose a Reason code view, Issuer routes to Process Acquirer response view to proceed with the appropriate action for further processing.
- In the Process Acquirer response view, the Issuer can
review the dispute amount and select any of the following actions to
proceed:
- Write-off
- Cardholder liable
- Acquirer liable
- Multipronged
- If the customer selects Write-off option, the case is resolved as Resolved-WriteOff by sending final credit correspondence to the customer, and respective accounting takes place.
- If the customer selects Cardholder liable option, the case is resolved as Resolved-Cardholderliable by sending Cardholder liable correspondence to the customer and respective accounting takes place.
- If the customer selects Acquirer liable option, the case is resolved as Resolved-Acquirerliable by sending final credit correspondence to the customer and respective accounting takes place.
- If the customer selects Multipronged option, the Issuer
can select either Write-off, Cardholder
liable, or Acquirer liable checkbox and
submit the response. Once the details are submitted, the case is resolved as
Resolved-WriteOff ,
Resolved-Cardholderliable, or
Resolved-Splitliable by sending correspondence,
and respective accounting takes place.
The following figure shows an example of the Process Acquirer response view.
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