Creating a Claim

In this tutorial we discuss the Channel Management functionality in Pricefx and how you would go about setting up a claim, using the different claim type templates and finally creating the claim records for sharing with external systems for processing. In Channel Management, you will be presented Claim Types; Claims and Claim Records.

How To

Create a Claim

All our how-to guides and video tutorials contain screenshots of our demo system and the information that you see will differ depending on your organizational configuration and the version of Pricefx software that you are running.

In this guide, you'll be exploring the Channel Management functionality and how you would go about setting up a claim, using the different claim type templates, and finally creating the claim records for sharing with external systems for processing.

Navigation

To begin with, let's look at the different elements available within the Channel Management Menu and how they work together.

If you navigate on the Pricefx Menu to Channel Management, you will be presented with 3 items on the sub-menu. These are Claim Types; Claims and Claim Records.

Claim Types

Claim Types allows you to configure a set of templates that you can use when creating a new template. These require a validation formula as well as an allocation formula to be set up by your administrators.

The validation formula allows the Channel Management functionality to validate the transactional data against a set of pre-configured logic and then approve or reject the claim automatically.

The Allocation Formula allows the Channel Management functionality to determine how payment is allocated, where a claim is approved.

Your organization may have one or more claim types present here and it is worth understanding which you might want or need to use when you set about creating a claim.

Claim Records

Back to the menu and you can see we still have claims and claim records, so let me spend a minute talking about claim records before we progress to the main section, which is claims.

When a claim is approved a Claim Record is automatically created. The Claim Record is created as one record that contains all validated items of the approved claim. This record then contains all the relevant information for the processing of this claim and if set up, an event is triggered that allows the claim records to be shared with external applications for processing.

Claims

OK, so now you know that you need claim types, or templates, to set up a claim and once you've set it up and it is approved, claim records are created. Let's now look at this intermediate step of creating the claim itself.

To create a Claim:

Go to Channel Management > Claims and click the Add button.

Enter the Label of the new claim and the Claim Type. Click on the Add button.

In the Options section, select the Effective Date and Customer.

Select the data source:

Excel file – Typically you would receive transactional data from your customer, most likely in an Excel file, and you'll need to validate whether or not a claim is payable. While loading, the validation takes place.
The Excel file will contain information on products, what agreement or quote this claim is being made against as well as quantities sold, etc.

Once it's Imported you can refresh it to see the claim items.

Some items will be auto-approved, some auto rejected depending on the pricing logic configuration. See the results in the Summary table.

You can override these auto-decisions (except for critical alerts). In the Status column, click on the red or yellow circle to see why the logic decided to reject that item.

If required, you can edit values in the columns (it must be enabled by the administrator). The whole row is recalculated after you make a change.

When finished, submit the Claim for approval. Click on the View Approval option.

Once approved, a Claim Record is created, which can be sent to a third-party system, e.g., SAP as mentioned before.

Claim Options

The following options are also available in the Claim detail view:

Refresh – Reloads the Claim items.

Export – Uses the Pricefx XLS template to download the Claim data, i.e., the file will not look identical as the uploaded Excel.

Recalculate – Runs the validation logic on all items. It does not read the data from the uploaded Excel file again but works with the (potentially edited) data in the table.

Cancel calculation – The first click stops the calculation but the status remains as Pending and the Claim is locked for editing. After a second click, the status changes to Cancelled and it is possible to change the configuration.

View Workflow – Displays the workflow history. Note that the workflow applies to the header level, not item level – you cannot approve individual items, only the claim as a whole.