There are four main processes within the eligibility and entitlement process. The first process is to create a list of decisions within a defined time period. The second process is to store these decisions. The third process is to create financial components from these decisions. The fourth process is to carry out reassessment by comparing the processed Instruction Line Items (ILIs) with the new financial components within the same time period. This can result in the creation of under or over payments.
Actions that Trigger the Eligibility and Entitlement Process: Certain actions in the reference application will automatically trigger the eligibility and entitlement engine to complete the eligibility and entitlement process. These actions include case submission, case approval, and case activation. The eligibility and entitlement process is also called when there is a change in evidence, certification, or nominee component assignment. Any time the determine eligibility batch is run, the eligibility and entitlement engine completes the eligibility and entitlement process.