Updating Your Response/ Decision
How to withdraw and update your response on an OCF.
As an adjuster, you may encounter a situation where you need to update your decision or response on an OCF.
Some examples of possible situations where you would need to withdraw your response and render a new one:
A facility has contacted the insurer and asked to resubmit an updated version of the form
The decision was rendered in error
In all of these situations, you will need to withdraw the decision on the form and render a new one. Continue reading for more information on how to perform this function in HCAI.
Withdrawing your decision in HCAI:
Locate and open the plan or invoice you wish to update.
The OCF will open to the ‘Summary’ tab.
In the ‘Plan Details’ or ‘Invoice Details’ section, press the ‘Withdraw Response’ button (View Screenshot).
The screen will refresh and the plan or invoice will be placed in ‘Review Required’ status.
You can now proceed to adjudicate the form. If you need to update the claimant to be in a different branch, you will need to contact a claim-claimant administrator who can unlink the claimant and match it to a claimant in the correct branch.
Please note that adjudication decisions cannot be withdrawn more than 365 days after the decision was rendered.
