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Question 15/50
Review the following requirement:
A claims application has as part of its process a step that sends a letter to an individual. After the letter is sent, the claims adjuster cannot do anything to the claim for 28 days. After those 28 days, the next step is for the claims adjuster to review the case details and make a processing decision. During those 28 days, the individual who received the letter may call up the front office and provide new information about the claim at which point the 28-day hold is lifted and the work is routed to the adjuster for the decision. The business says in most cases this call does not occur and the 28 days lapses.
Given the information provided, which design is most appropriate? (Choose One)
A claims application has as part of its process a step that sends a letter to an individual. After the letter is sent, the claims adjuster cannot do anything to the claim for 28 days. After those 28 days, the next step is for the claims adjuster to review the case details and make a processing decision. During those 28 days, the individual who received the letter may call up the front office and provide new information about the claim at which point the 28-day hold is lifted and the work is routed to the adjuster for the decision. The business says in most cases this call does not occur and the 28 days lapses.
Given the information provided, which design is most appropriate? (Choose One)
