Currently, the justification field while reviewing a service or item in each claim is allowed to be free text. This creates an issue that even the same reason might be written in different ways by different claim reviewers, and could potentially create issues for providing coherent feedback to the health facilities for the reason of changes (reject, change of quantity) of services/items. Additionally, the difference in language could also create issues for the upcoming AI module for claims adjudication. Potential features solution: Justifications changed to a drop-down menu, with the items in drop down menu defined by claim reviews team of each implementation. Additionally, an 'other' option for free text could also be provided for ad-hoc feedback. |