Case reassessment checks if changes in case circumstances may have resulted in a nominee being over or under paid. An over or under payment occurs when a new decision is created for a period that overlaps with an existing decision or decisions that have already been processed for payment or billing and that new decision differs from the existing decision or decisions. To determine the value of an over or under payment, financial data is created for the new decisions that represents what the financial components would have been if based on the changes in circumstance. This financial data is compared to the actual processed instruction line items. Case reassessment is covered in more detail in the Cúram Integrated Case Management Guide.
For example, John Smith received a payment in the amount of $70. This payment instruction included five benefit instruction line items, three for the child benefit component, and two for the max personal component. New evidence was recorded after this payment instruction which resulted in new decisions. The decision information overlapped with the processed financial components, and showed different amounts that should have been paid for the child benefit and max personal components based on the changes in circumstances. The below table demonstrates the granular representation of over and under payment processing, where each 'actual amount' is a processed instruction line item and each 'reassessed amount' is financial data representing what should have been paid or billed based on the changes in circumstance.
From Date |
To Date |
Component | Actual Amount | Reassessed Amount | Difference |
|---|---|---|---|---|---|
| 16/02/2009 | 22/02/2009 | Child Benefit | 40.00 | 10.00 | -30.00 |
23/02/2009 |
01/03/2009 | Max Personal | 5.00 | 20.00 | 15.00 |
23/02/2009 |
01/03/2009 | Child Benefit | 40.00 | 10.00 | -30.00 |
02/03/2009 |
08/03/2009 | Max Personal | 5.00 | 20.00 | 15.00 |
02/03/2009 |
08/03/2009 | Child Benefit | 40.00 | 10.00 | -30.00 |
| Total Over or Under Payment | -60.00 |