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Curam SEM CBAS Financial Adapter
Flashcards Quizlet
41
Computer Science
Not Applicable
11/23/2015

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Cards

Term
Select three Deduction Types used in Curam Financials:
- Immediate
- Applied
- Percentage-wise
- Un-Applied
- Third Party
- Tax
- Provider subsidy
- Solidarity withholding
- Regulatory
Definition
- Applied
- Un-applied
- Third Party
Term
Name two fundamental concepts used in Financials.
Definition
- Financial Component
- Instruction Line Item
- Financial Instructions
- Financial Instruments
- Payslip
Term
What is a Financial Component in Curam.
Definition
It is a schedule of payments or bills
Term
Name main items within Financial Component.
Definition
- Category ( payment or bill for liability )
- Case Noninee
- Primary Client
- Amount ( per bill, per payment)
- Delivery Pattern (method, cover period, cover period offset)
- Start Date
- End Date
- Amount
- Scheduled due date (Next Due Date)
Term
Can Instruction Line Item be only partially allocated?
Definition
Yes

Examples:
Partial liability write-off
Partially applied Deduction
Term
Can Worker see Coverage Periods on the screen?
Definition
Yes
Navigation Tab:Determinations->Page Tab:Decisions->every row is a Coverage Period.
Term
What is a relation between Coverage Period and Certification Period.
Definition
Coverage Periods are contained within Certification Period's Start and End Dates.
Term
Can a single Overpayment be calculated form multiple Coverage Periods?
Definition
Yes
Term
What delimits Coverage Period?
Definition
- Certification Start Date
- Certification End Date
- Change of Circumstance Effective Date.
Term
What provides the Financial Adapter?
Definition
The Financial Adapter provides the ability to integrate CBAS's financial processing with financial processes provided by an ERP financial system.

CBAS - CĂșram Business Application Suite
ERP - Enterprise Resource Planing (system)
Term
What is contained in Financial Adapter Configuration Data?
Definition
- Address Formats
- Banks and Bank Branches
- Codetables
- Currencies
- Delivery Methods
- Organization Structure
Term
Fill in blanks:
At least one __________ is generated for every financial process that occurs.
Definition
- instruction line item
Term
Fill in blanks:
Instruction line items for a case are created when _________ are processed.
Definition
- financial components
Term
An instruction line item for a case is an instance of ________.
Definition
- financial component
Term
Instruction line items can also be created outside of case processing. True/False?
Definition
True
Term
Name three(3) status values that ILI can assume in the Financial Adapter.
Definition
- unprocessed
- transferred
- processed
Term
Fill in Blanks:
An _________ or ______ instruction line item has an
outstanding amount equal to its full credit or debit amount.
Definition
- unprocessed
- transferred
Term
What is a status of ILI that may have
an unprocessed amount of zero or more?
Definition
- processes
Term
What is a status that denotes that an ILI has been sent to the ERP system for further processing.
Definition
- transferred
Term
Fill in blanks:
The ILI's category and type can be used by ERP on order to _______ ?
Definition
- roll them up into one financial transaction.
Term
What ILIS are NOT generated by Financial
Batch Suite?
Definition
- Payment Received
Term
What processes is the CBAS expecting the ERP to support?
Definition
- Recording Payments Received from a Person or Employer
- Recording Payments Received in a Suspense Account
- Transferring Payments Received from a Suspense Account
- Allocating Payments Received
- Liability Over Allocation
- Reversing Payments Received
- Writing Off Reversed Payments Received
Term
In CBAS, who is no longer responsible for the amount that has been written off from ILI?
Definition
- Nominee
Term
Fill in blanks:
When a liability is reversed, the liability amount is ______ rather than deleted from the system.
Definition
negated
Term
Fill in blanks:
When a liability is reversed, a ______ instruction line item is created for every ILI that was included in the liability.
Definition
reversal
Term
Fill in blanks:
Suspended instruction line items are still transferred to the ERP financial system but they will be
explicitly marked as _______.
Definition
suspended
Term
In CBAS, can the payment be partially canceled?
Definition
Yes
Term
What does it mean that the payment has status "Partially Cancelled".
Definition
It denotes a payment for which some, but not all, of the instruction line items comprising the payment have been successfully canceled on the ERP financial system.
Term
Fill in blanks:
In CBAS, _________ a payment indicates that a payment has not been received.
Definition
Canceling
Term
In Curam SEM application, a ______ payment is a payment to a case nominee that is issued outside of the system.
select the best:
- initial
- manual
- expedited
- in-advance
Definition
manual
Term
Name three(3) preconditions for the system to apply the surcharge rate to the unprocessed liability amount in order to determine the surcharge amount.
Definition
- outstanding amounts greater than
zero
- surcharge adjustment processing is required
- the instruction line item is due for surcharge processing
Term
In CBAS, which of the below deduction payment instruction line items will NOT be transferred to ERP's financial system?
- Un-applied
- Applied
- Third Party
Definition
Un-applied
Term
Is a Deduction an example of:
- Instruction Line Item
- Financial Component
Definition
It is a (secondary) Financial Component.
Term
Payment Group is:
- Category of payable clients
- Group Insurance payment
- Arbitrarily defined group of PILIs that could be rolled up together into a single PI.
Definition
A payment group can also be created to allow the payment instruction line items from certain products/programs to be rolled up into one payment instruction.

The criteria to form a group could be business based without any technical justification; that is Payment Groups can be seen as a mechanism to prevent that everything be rolled up together, and remains segregated into predefined groups.
For example: If some payments are drawn from one bank account and some other from another account rolling them all together is impossible. Organization might define a group of of ILIs to implement the distinction between these sources of funds rather than referring to a specific bank account.
Term
When we ask two deduction types ( as opposed to three) what types we mean?
Definition
- Fixed
- Variable

Refers to the way the amount is computed.
Term
Name five statuses of deduction
Definition
- inactive
- active
- processed
- skipped
- cacelled
Term
Who could be a nominee of fixed deduction
Definition
- any nominee but only a single nominee.
Term
Who could be a nominee of variable deduction?
Definition
- single nominee
- all nominees
- a case component
Term
What are two options available if the amount remaining is insufficient to apply the entire deduction.
Definition
- deduct nothing (=skip)
- deduct remaining ( deduct whatever remains)
Term
Name seven Financial Instruction Types
Definition
Payment Instruction
Liability Instruction
Payment Received Instruction
Reversal Instructions
Write-off Instruction
Third Party Payment Instruction
Adjustment Instruction
Term
What delimits Financial Conponents
Definition
- Start Date of the Coverage
- End Date of the Coverage
- Date the Nominee changed
- Date the Delivery pattern changed
- Ramp-Up, Ramp-down implied dates ( if applicable )
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