Seeing every flag for one claim
The Quality Audit page groups flags by incident number, so all the flags for one claim sit together under one heading. To pull up a single claim's flags:
- Click Quality Audit in the menu.
- Type the incident number in the search box above the grid.
- The list narrows to that claim's flags, grouped under its incident number.
What each flag shows
- Flag Code and Description - what the problem is.
- Severity - Critical, Warning, or Info.
- Category and Source - the kind of check and where the flag came from.
- Status - open, in review, resolved, or dismissed.
Acting on the flags
Each open flag has Resolve and Dismiss buttons in the Actions column. Click the flag's row to open the claim and fix the underlying problem first, then come back and clear the flag. See Resolving QA flags for the full steps.
The Flags column on the Claims list
The Claims list has a Flags column of its own. That badge counts open agency flags, which are charts sent back to the crew in CloudPCR for correction. It is a different count from QA flags. Clicking the badge opens the claim.
Example
A coworker asks you to double-check incident 2024-00187 before it goes out. You open Quality Audit and type 2024-00187 into the search box. Three flags appear under that incident: one Critical ("No insurance payer on claim") and two Warnings. You click the row to open the claim, add the payer, correct the mileage, then come back and click Resolve on each flag with a short note about what you fixed.