Reassessment Processing for a Liability Case

This section demonstrates the normal reassessment process for a liability case. To understand the difference between benefit and liability over or underpayments, consider the example where an overpayment exists on a benefit case with the value of $5. In this example, the eligibility and entitlement engine has determined that the benefit case has been over paid $5. To rectify this overpayment, the organization can deduct this $5 from future case benefits. Now consider a second example where the eligibility and entitlement engine has determined that the liability case has been underbilled $5. To rectify this, the organization can add this $5 to a future bill. The organization could also decide to deduct this $5 from any of the existing benefits related to the liability case. This is the same action the organization would take for a benefit overpayment.

For the purpose of demonstrating reassessment processing for a liability case, this section uses a new set of sample data which includes a change in circumstance for a liability product. Note that the liability sample data used to demonstrate reassessment processing for a liability case is similar to the sample data used to demonstrate reassessment processing for a benefit case. For both benefits and liabilities, the eligibility and entitlement engine follows the same processes when creating new and virtual financial components, checking if reassessment is required, and defining the reassessment period. Thus, by using the similar data, it is not necessary to describe how the eligibility and entitlement engine performs these processes for a liability case. The following table outlines the new set of liability sample data: