Enter the Case Number from Task Navigation and click Go. The Case Summary page displays.
Click Negative Action from Task Navigation. The Negative Action Detail page displays.
Select the <mm/yyyy> that the negative action is taken from the Benefit Month drop-down menu.
Select the check box for the Consumer’s name.
Select the appropriate value from the Negative Action Reason drop-down menu.
Select the appropriate value from the Timely Notice Exception drop-down menu.
If “yes” is selected, the Reason field displays. Select the appropriate value from the Reason drop-down menu.
Click the Run EDBC button. The EDBC List page displays with Run Status of ‘Not Accepted’ and Auth Amount of ‘Fail’.
Click the Medical hyperlink for EDBC for the benefit month run. The Medical EDBC Summary page displays with the Status Reason = selected Negative Run Reason.
Click the Accept button. The EDBC List page displays with Run Status of ‘Accepted – Not Saved’.
Click the Save and Continue button. The Distributed Documents Search page displays.
Click the document hyperlink for the Notice of Action (NOA) just created. See NOAs (Notices of Action) for more information.
Select Journal from Utility Navigation (upper right corner of page in dark blue banner). Record a Journal entry of the actions taken on the case. See Journal for more information about journaling functionality.