To process reassessment details, the eligibility and entitlement engine compares the actual details to the reassessed details. The following table illustrates this process:
Cover Period |
Actual Amount |
Reassessed Amount |
Difference |
|---|---|---|---|
March 12th - March 18th |
0 |
40 |
-40 |
March 19th - March 25th |
0 |
70 |
-70 |
March 26th - April 1st |
10 |
70 |
-60 |
April 2rd - April 8th |
74 |
74 |
0 |
April 9th - April 15th |
77 |
77 |
0 |
April 16th - April 22nd |
77 |
0 |
77 |
April 23rd - April 29th |
77 |
0 |
77 |
April 30th |
11 |
0 |
11 |
Totals |
326 |
331 |
-5 |
To determine if an over or underbilling exists, the eligibility and entitlement engine calculates the total difference between the actual amounts and the reassessed amounts. For liabilities, if the total difference is greater than zero, an underbilling exists; if the total difference is less than zero, overbilling exists.
Using the values in the Difference column in the above table, the total Difference between the actual amounts and the reassessed amounts = -40 + -70 + -60 + 77 + 77 + 11 =
The total difference, -5, shows that there is an overbilling for this reassessment period.