MECWISE CLAIMS - Amazon Web Services

MECWISE CLAIMS - Amazon Web Services
StarVision Information Technology Pte. Ltd.
Mobile
E-Commerce
Web
Intelligent
Solutions for
Enterprises
MECWISE® CLAIMS
User Guide
For
End User
Developed & Published by
User Manual | Version 1.0
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StarVision Information Technology Pte. Ltd.
Table of Contents
1
CONVENTIONS USED ........................................................................................................................... 4
2
QUERY BUILDER .................................................................................................................................. 8
3
INTRODUCTION................................................................................................................................. 16
4
CLAIM APPLICATIONS ........................................................................................................................ 17
4.1 ALL CLAIMS ............................................................................................................................................... 17
4.1.1
Apply for Miscellaneous Claims .................................................................................................... 18
4.1.2
Apply for Medical Claims .............................................................................................................. 21
4.1.3
Apply for Public Transport Claims ................................................................................................. 23
4.1.4
Apply for Private Transport Claims ............................................................................................... 25
4.1.5
How to update/delete Claim Transaction Details ......................................................................... 26
4.1.6
How to add/update/delete the Routing list.................................................................................. 26
4.1.7
How to upload files in Claims Application .................................................................................... 28
4.1.8
How to submit Claim Application ................................................................................................. 29
5
CLAIM WITHDRAW AND RESUBMIT ................................................................................................... 30
5.1 ALL CLAIMS ............................................................................................................................................... 30
5.1.1
How to check Claim Approval Status ............................................................................................ 31
5.1.2
How to re-summit the Rejected Claim .......................................................................................... 32
6
CLAIM HISTORY ................................................................................................................................. 33
6.1
7
ALL CLAIMS ............................................................................................................................................... 33
INBOX ............................................................................................................................................... 35
7.1
7.2
7.3
7.4
APPLICATION HISTORY ................................................................................................................................. 35
OUTSTANDING FOR ACTION .......................................................................................................................... 36
MULTIPLE APPROVAL FOR ACTION ................................................................................................................. 38
DELEGATION .............................................................................................................................................. 40
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System Features
MecWise® Claim Management System, part of the MecWise® Human Resource, is a fully
integrated, Comprehensive claim management information /package which incorporates a
complete range of business applications required in all areas of claim management .
MecWise® Claim Management enables the processing of your claim Management
efficiently, providing the built-in intelligence to assist managing claim functions
Consistency and Simplicity:
It is easy and simple to operate as menus and windows, together with on-line help
messages govern the entire system. In addition each module is designed with the same
operational procedure. New users need only to learn and be familiar with one module, and
soon be familiar with all of them. Hence even users with no computer experience will find it
easy to operate.
Flexible:
The system provides flexible master file maintenance for adding, modifying and deleting
master file information respectively.
Popup windows/tables:
With the prompt windows, searches through files are made simple and it allows users to
obtain prompt and accurate access data.
Reports provided:
Listing and statistical reports are provided too marking checking and reporting purposes
much more efficient and effective.
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1 Conventions Used
This section gives a detailed explanation of the conventions used in MecWise® Claims.
Upon login, the Welcome Screen will be displayed as below.
The left hand side of the Window contains the Menu.
Menu Option
When clicking on menu option, the option will expand to display sub-system’s modules.
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The Toolbar shows at the top of the screen when any of the modules are selected. It
contains a row of icons for easy execution of commands.
Below is the explanation of some of the commonly used icons:
Toolbar
Initiate a new record (Blank template).
Update the existing information in the record.
Deletes the current record.
Search for records using a Query Builder.
Search records for records with fields similar to that displayed on
screen. If no fields are entered, system will display all available
records under that module.
Print current record in report form (If available).
Access the previous/next record without having to exit from the
current screen.
Save most recent data entered in the record.
Cancel the current operation.
Return to header screen. This icon is usually displayed after the
Cancel button is clicked on.
If you have forgotten the functions any icon or come across an
unfamiliar icon, place the mouse cursor over the icon for a few
seconds. A description of the function will be displayed.
The Collapsible Panel is located under the Toolbar. It displays a browser listing the different
records according to the user’s specifications.
Collapsible Panel
(OR)
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Add new detail Record
Query Builder to query, filter and sort records for display in
the browser.
Export records from the browser to excel format.
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2 Query Builder
The Query Form is for setting the criteria so as to display only a range of required records
for viewing.
Query Form
These are some basic concepts and various signs used in the query form:
For Alphabetical Values:
a < b < c < ... < z.
For values that contain 2 or more alphabets, always start comparing the values from left-toright.
Example 1: ad < ar
Reason: d is less than r
Example 2: bd < d
Reason: b is less than d
Example 3: bcd < bcf
Reason: d is less than f.
For Numerical Values:
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1 < 2 < 3 < ... ...
Using the Query form is essentially forming sentences specifying search criteria.
Firstly select the subject criteria from the screen on the left.
Select the desired condition from the column beside the subject screen.
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Meaning of Condition
Is
Is not
Value more than.
Value more than and equals to.
Value less than.
Value less than and equal to.
Containing.
Have no values/Does not exist.
Has values/Exists,
Including.
Not including.
Next, enter the data in the field located in the top right hand of the Query Form.
You can choose to enter the data manually or select from the pick list by clicking on the
selection button beside the field.
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Pick List
To select the desired object, simply click once on it.
Query Form Icons
Icons
Implication
Open and Close Bracket.
Used together in situations of multiple conditions.
Conditions within brackets will be dealt with first.
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Used to remove the open and close bracket respectively.
Input conditions defined.
Replace any highlighted condition with another condition.
Remove the highlighted condition.
After entering a single condition, click on Insert to input the condition. This condition will be
displayed in the screen.
To link 2 conditions together, make use of the selections located in the top left hand corner
of the form after the 1st condition has been entered before entering the 2nd condition.
Icon
Implication
System will filter only records satisfying both conditions.
System will filter records satisfying the 1st condition and eliminate those
that satisfy the 2nd condition.
System will filter records that satisfy either condition.
System will filter records that satisfy 1st condition or those that do not
satisfy the 2nd condition.
At the bottom of the Query Form is another row of icons.
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Icon
Implication
Confirm conditions set.
Exit Query Form.
By clicking on the Order by tab, the user can pre set the order in which the records filtered
will be listed.
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Order by Tab
Click on the property (From left hand screen), which the listing will be done according to.
Click on
to add the property to the screen on the right.
Conversely, to unselect a property, click on it and click on
on the left.
to return it to the screen
moves the property higher or lower in position/priority in the case of multiple properties
selected.
Ascending Order: a, b, c, ......, z / 1, 2, 3…9
Descending Order: z, y, x, ..., a / 9, 8, 7…1
To start the filtering with conditions and order defined, click on OK. (Located at bottom of
Order By tab)
The records, which fit the conditions laid down, will be listed in the Browser.
A typical browse screen constitutes of titled columns and rows of stored data. A sample of a
browse screen is shown below.
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Browser
Below is the explanation of the icons on the collapsible panel:
Click this to expand the browser for viewing.
Click this to collapse/hide the browser.
To lock current browser status (Expanded/Hidden).
Within the browser, there are other icons to view, filter and export the information from the
browser.
Browser Icons
Navigator. To view next/previous screen of
records.
Search function. Select field from drop
down list on the left and enter the
data/keywords to search through records
for a match.
Click on the button
process.
to start search
Query Builder to query, filter and sort
records for display in the browser.
Export records from the browser to excel
format.
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3 Introduction
MecWise® Claims is a fully automated HR claims processing solution that turns the
laborious and document-heavy process into a streamlined process. It’s a web-based
paperless claims management system which enables employees to submit the claim on-line
with supporting documents attached and managers to approve/reject the claim request via
email.
Functions to be performed by the system:
(a)
Enables employees to submit their claim on-line.
(b)
Routes submissions to authorized verifier and the approver of claim application can
Approve/Reject the claim request with sufficient details and supporting documents via
email.
(c)
Calculates the Claim entitlement of all eligible employees every year
(d)
Enables employees to withdraw any claim applications prior to or after it has been
approved; an approval of cancellation is sent to the approving officer.
(e)
Provides on-line enquiry facility to allow employees to check the status of their claim
applications.
(f)
Interface with MecWise® Payroll allows posting the processed claim payment records
to payroll and provide accurate results in payroll processing.
(g)
Generates relevant management and statistical reports.
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4 Claim Applications
4.1
All Claims
This module allows the user to create/update/delete the claim application records and to
submit their claim applications.

Go to Claim Applications  All Claims will displays the claim application screen in
enquiry mode and displays the existing records in the header grid of the screen as
follows.

Click on Add button to add a new record.

Select the Claim type from the dropdown list, the corresponding detail screen will
launch in a popup window.
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4.1.1 Apply for Miscellaneous Claims


To Add Miscellaneous Claims, select Miscellaneous Claims from dropdown list as
follows.
System navigates to load the Miscellaneous Claims details screen as follows.
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
Select the Claim type and GL Code from pick list.

Select the Calendar Icon to popup calendar and select date and click Close button
for entering the Date of Receipt.
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
Select the Employee Cost Centre, Source of Fund and Project No from pick list.

Select the Currency Code and Exchange Rate from pick list.

Enter the Claim + GST Amount and select GST Code from dropdown, then the
GST Amount and Actual Claim Amount calculated.

Enter Description and Remarks and click on the Save button.

Close the popup window (detail screen) to navigate to parent screen to add another
claim record save.

To update the miscellaneous claim record details, select the record in the grid and
click on the Update button, modify the fields and click on Save button to save the
changes.

To delete the record, select the record in the grid and click on the Delete button to
delete the claim transaction details.
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4.1.2 Apply for Medical Claims

To add medical claims records to all claims screen, select the Medical Claims from
the dropdown as follows.
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
System navigates to load the Medical Claims details screen as below.

Select the Treatment Type from dropdown. By default GL Code is filled based on
Treatment Type.

Select the patient from Patient dropdown. By default Relationship is filled based on
patient.

Select the Employee Cost Centre, Source of Fund, and Project No from pick list.

Select the Clinic Code form pick list. Enter clinic Name, Receipt No and Remarks.

Enter the amount in Medical Expense ($) field, by default Claimable Amount ($),
Actual Claim Amount ($) and Co-Payment Amount ($) fields are filled are
calculated.
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
Click on Save button to save the claim.

To add more claims, click on the Add button and repeat the same process and
close the detail screen to navigate to parent screen.
4.1.3 Apply for Public Transport Claims

To add public transport claim records to all claims, select the Public Transport
Claims from the dropdown list as shown below.
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
System will navigates to load the Public Transport Claims details screen as follows.

Select the Employee Cost Centre, Source of Fund, and Project No from corresponding
pick lists. By default GL Code field is filled.

Enter all mandatory field information into fields. By default ‘Travel Expenses Btw.
Home and Office’ field is setup based on start date selection (system will get the
‘Travel Expenses Btw. Home and Office’ from the Claim Master Setup->Transport
Fare).

Select the ‘Transport From’ and ‘Transport To’ from dropdowns. By default ‘Pls.
Specify Places Travelled from’ and ‘Pls. Specify Places Travelled To’ are filled, when
select the Transport From and Transport To as ‘Others’, write into multiline textboxes.

System checks the ‘Transport From’ and ‘Transport To’ cannot be same. System
checks, the ‘Travel Expenses Btw. Home and Office’ and calculate the actual claim
amount, if either ‘Transport From’ or ‘Transport To’ is selected as ‘Home’.

Enter ‘Amount Of Fares Paid’. By default Actual Claim Amount calculated.
Actual Claim Amount = (‘Amount Of Fares Paid’ - ‘Travel Expenses Btw. Home and
Office’)
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
Click on Save button to save the claim, to add more claims repeat the same process.

Close the popup window (detail screen) to navigate to parent screen to add another
claim/save/submit the application.
4.1.4 Apply for Private Transport Claims

To add private transport claim records to all claims, select the Private Transport
Claims from the dropdown list.

System will navigates to load the Private Transport Claims details screen as below.

Select the Employee Cost Centre, Source of Fund, and Project No from pick list.

By default GL Code field is filled.
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
Select Vehicle Type from pick list. By default Amount per KM filled based on master
setup.

Select Start Date and Start Time from Calendar Icon and Payment Type from
dropdown.

Select the ‘Transport From’ and ‘Transport To’ from dropdowns. By default ‘Pls.
Specify Places Travelled from’ and ‘Pls. Specify Places Travelled To’ are filled
when user select the Transport From and Transport To as Home.

System checks the ‘Transport From’ and ‘Transport To’ cannot be same.

System checks, the ‘Travel Expenses Btw. Home and Office’ and calculate the
actual claim amount, if either ‘Transport From’ or ‘Transport To’ is selected as
‘Home’.

System calculates the actual claim amount based on the Mileage – Distance Btw.
Home and Office (KM) * Amount Per KM + ERP/Toll Amount + Car park Charges.

Click on Save button to save the claim, to add more claims repeat the same
process.

Close the popup window (detail screen) to navigate to parent screen to add
another claim/save/submit the application.
4.1.5 How to update/delete Claim Transaction Details

To update the claim transaction details, select the record in the details grid to open
the details screen in popup window. Select the record in the grid and click on
Update button change the screen mode to update mode. Modify the fields which
open for update and click on Save button to save the changes.

To delete the claim transaction details, select the record in the details grid to open
the details screen in popup window. Select the record in the grid and click on
Delete button to delete the selected record.
4.1.6 How to add/update/delete the Routing list

We can add/update/delete the routing list from all claims screen.

To add the routing list, select the record from all claims header grid will displays the
selected record in the screen. Click on Update button to change the screen mode
to update mode and click on Add New button as follows.
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
System will navigate the screen to routing list details screen. By default Application
Id filled.

Select the Role id, Recipient Id from pick list and click on Save button as follows.
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4.1.7 How to upload files in Claims Application

To add the receipts/upload files to the claim application record,select the record
from the header grid of the all claims screen will displays the selected record in the
screen.

Click on Update button to change the screen mode to update mode and click on
View/Upload Files button will open a new window as follows.

Click on Browse button to select the upload file.

Click on Upload button to upload the selected file. After uploading, the uploaded
file is showing in the grid, as shown in the below.
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
To delete the uploaded document, click on Delete button to delete uploaded file.
4.1.8 How to submit Claim Application

Click on Submit button in the bottom of the screen to complete the Application
Process.

Your approver will receive an email notification of the Submit Application.

System will return a message with the document number generated for reference.
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5 Claim Withdraw and Resubmit
5.1
All Claims
This module allows the user to withdraw the claim application and resubmit Claim
application. If your claims applications are still pending for approval, user can Withdraw it
from Claim Withdraw and Resubmit module.

To withdraw your claim application, go to Claim Withdraw and Resubmit Menu 
All Claims, the records are displayed in the header grid of the screen.

Select the record from the header grid. Based on the claim status of the selected
record then Withdraw/Withdraw and Resubmit/Print Preview buttons are
enabled/ disabled.

Select Pending for Approval Record from grid and click on Withdraw Button at the
bottom to withdraw your application.

When click on the Withdraw button one message box will appear as shown in
below. Click on ‘OK’ button and the withdraw process will be completed. Your
approver will receive an email notification also.

If the user wants to withdraw and do a re-submission at the same time select the
record from grid and click Withdraw and Resubmit button. System will pop out
two message boxes. Click on ‘OK’ button.
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
Your screen will be changed to update mode and you may update and click on the
Submit button to complete the resubmission process.

Your approval will receive an email notification on the withdrawal and resubmission.
System will return a message with the document number generated for reference.
5.1.1 How to check Claim Approval Status

To know the claim approval status, select the record from all claims screen will
displays the selected record in the screen.

Select the Routing Status tab to check the claim approval status of the selected
record.
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5.1.2
How to re-summit the Rejected Claim

To resubmit the rejected claim status record, select the rejected claim status record
from the all claims screen will displays the selected record in the screen.

Print Preview, Withdraw and Resubmit buttons will be enabled based on claim
status of the selected record.

Click on Withdraw and Resubmit button to resubmit the claims. System will pop
out two message boxes.

Go to Claim application  All Claims to select the record from the grid, modify the
changes and click Submit button to re-submit.
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6 Claim History
6.1
All Claims
This module allows the users to view the history of the submitted claim application
records.



Go to Claims History Menu  All Claims screen will displays the records in
the screen. Select the record from the header grid of the screen will displays the
selected record in the screen.
To view the details, select the record from the detail grid as follows.
System will navigate to the corresponding claim type details screen with the
existing records in the header grid.
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
User can select the record will displays the selected record in the screen and
user is able to view the record as follows.
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7 Inbox
7.1
Application History
This module allows the user to view his submitted application records status and their
details.

Click on Application history under Inbox menu page will loads the application
history screen by displaying the records in the header grid of the screen.

Select the record from the header grid will displays the selected record with the
details in the screen.

Click on Withdraw button to withdraw the selected claim application if the claim
status is pending for approval.

Click on Resend notification button will resend the notification email to the current
approver.
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7.2
Outstanding for Action
This module allows the users to Recommend/Deny OR Approve/Deny the submitted claim
applications records.

Go to Inbox Menu  Outstanding for Action menu item will loads the Outstanding
for action screen by displaying the pending status application records in the header
grid of the screen.

Select the record will displays the selected record in the screen.
Recommend/Approve buttons will be enabled based on the Approver role.
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
Click on the View document button to check the claim details. Click on
Recommend/Approve button to recommend/approve the claims.

Click on Deny button to reject the claims.
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7.3
Multiple Approval for Action
This module allows the user to approve/deny the multiple application records.

Click on Multiple approvals for action screen under Inbox menu page will load
the screen by displaying the pending for approval records in the header grid of the
screen as follows.

Click on Select application button which will loads the multi Picklist showing the
pending for approval records.
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
Check the check boxes and click on Close button will displays the selected records
in the screen.

Enter the comments in the comments fields and click on Ok button to approve the
selected application records to approver and click on NO button to deny the
selected application records to reject.
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7.4
Delegation
This module allows the user to assign delegations to employees for Claim application and
approvals only.

Go to Inbox Menu page  Delegation menu item.

Click on Delegation menu item will displays the screen in add mode. Select the
Application Type from the drop down.

Select the Delegate To from pick list to set the covering officer. Select the Delegation
Type to set the officer to apply/approve on behalf.

Select the Delegation Role if the Delegation Type is Approval. Select the Effective
Start Date and End Dates to set a time period for the delegation to apply/approve.
Click on the Toolbar Save button to save details.
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
To update the delegation record details, select the record in the grid, click on the
Update button and modify the fields and click on Save button to save the changes.

To delete the delegation record, select the record in the grid, click on the Delete
button to delete the selected record from the screen.
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