Creating a Pended Claim in Facets

When we create a claim in Claims processing application in Facets and hit F3 to process  it, facets sometimes gives us error message instead of processing the claim. The reason may be facets internal issue or any input data that we have entered while creating  a claim.

In order to log a defect and reproduce the error message in future, we create a Pended claim in Facets Claims Processing application.  Here are the steps that we perform in Facets to create a pended claim.

Step1: Press F5 on your keyboard , you will see the Next Review Date window.

Step2:  Click OK , you will see the Explanation window.

Step3: Select “5000” under  Code column. When “5000” code will be selected OK button will be enabled.

Step4: Now click on OK button. Facets will generate a 12 digit claim ID automatically. Store it in ALM Lab section .

Let us think in this case, the pended claim ID generated by Facets is 000000000001

Step5: Now press Ctrl+ O, the  Open window will be opened:

Step6: Next enter 12 digit claim id in Claim ID edit box.

Step7: Click on OK button and check the Claim. You have to review that the claim is the same as before and there is still error message.

Step8: To be more sure, press F3 to process the claim again. If the page looks as before, take screenshots and log a defect in ALM/QC.

The developer/configuration analyst will take care of the defect, when defect fixed, you will retest the claim. If it passes , that is, there is no more error message in facets and the claim processed as per the test case, save the claim. Now it will be a regular claim. And close the defect in ALM/QC.