Definitions for "Edits"
Criteria that, if unmet, will cause an automated claims processing system to "kick out" a claim for further investigation.
Criteria that, if unmet, will cause an automated claims processing system to "reject" a claim for further/manual review.
The listing, count and error reports generated when payroll transactions are verified against the Payroll Master File and certain edit routines to validate the accuracy/logic of the input information.
APT Edits are controlled by each upload company and used to assist agents with entering policy information. The edits are also used to check the policy for required information before it is uploaded. The company will send files, either on diskette or electronically, to the agent containing the edit information.
The checks that are made to ensure the correctness of the data.