An appeal is a request to review one or more denied program application, product delivery case or issue case decisions. An Appeal is created to manage appeals on product delivery cases, prior appeal cases, program applications which have been denied and issue cases.
All appeal types have one or more appellants who initiate the appeal and a respondent who defends the original decision. A person can appeal any decision made on his or her application, product delivery case and issue case. Alternatively, the organization can appeal one or more decisions.
There are many reasons why an appeal is lodged. A case participant who has applied for a benefit and has been deemed ineligible, or whose benefit payments are reduced may not agree with circumstances leading to those outcomes and therefore choose to appeal.
When an application, product delivery case or issue case is appealed, an appeal case is created to manage the appeal. This starts a chain of events which include collating statements, scheduling hearings, deciding whether or not to overturn the application, product delivery or issue decision, and implementing the appeal decision accordingly. The series of stages an appeal case passes through during its lifetime, i.e., the progression of events for the appeal, is called the appeal lifecycle.
There are three appeal types in Cúram Appeals™: hearing appeal, hearing review appeal, and judicial review appeal. Each of these appeal types is processed differently.