Case Information Page

The Case Information page provides read-only details regarding a selected Case ID associated with a Demand Letter.

Note: Data reported by the Healthcare Integrated General Ledger Accounting System (HIGLAS) is displayed in real time on this page each time the page is loaded. If this information does not load, you will see an error message.

The information on this page is displayed in the following table.

Case Details

Information and Tabs

Click Demand Detail to navigate to the Demand Detail page. This page will display the Demand Letter ID currently displayed on the Case Information page and all cases associated with the Demand Letter ID.

Click Demand Listing to transfer to the Demand Listing page.

Click Case Search to open the Case Search page. This page allows you to search for a case ID associated with the selected account.

Click View/Submit Defense to view defenses previously submitted for claims or claim lines associated with a selected case or to submit a new defense for the case. Note: This button is only enabled when:

• At least one defense was previously submitted for the claim or claims lines on the case OR
• None of the following criteria are true for the case when submitting a defense:
  • The current date is within 180 days of the demand letter date; or
  • The case has not been referred to Treasury; or
  • The accounts receivable balance is greater than zero.

If any of the above three criteria are true, then this action opens the View Submitted Defenses page, which allows you to view any previous defense submissions.

Therefore, the submit action is disabled if the case does not meet the criteria to submit a defense and there are no previous defense submissions for the case.

Click Submit Documentation to upload documentation related to a case, including supporting documents for a previously submitted defense.

On the Case Information page, you can select a tab to view details regarding the Financial Summary, Electronic Payment History, Correspondence Activity, and Defense History for the selected Case ID.

Financial Summary Tab

The Financial Summary tab on the Case Information page displays read-only financial summary information for the selected Case ID.

The Financial Summary tab displays the following:

• Account Receivable Date
• Case Outstanding Balance
• Principal Collected
• Remaining Principal Balance Amount
• Adjusted Amount
• Treasury Referral Date
• Treasury Account Number
• Current Status of Debt
• Interest Rate
• Interest Start Date
• Interest Accrued
• Interest Collected
• Remaining Interest Balance Amount
• Balance as of Date

Note: All fields on this tab, except the Treasury Referral Date, Treasury Account Number, and Interest Rate, display data in real-time as reported by HIGLAS (if available). When the Account Receivable balance goes to zero for a Group Health Plan (GHP) case, the Principle Collected, Adjusted Amount, Interest Accrued, and Interest Collected will display zero in these fields. All other fields will remain unchanged.

Electronic Payment History Tab

The Electronic Payment History tab on the Case Information page displays read-only status of all electronic payments for the case (Pay.gov Payment Status and Demand Balance Status), with payment method and amount, confirmation numbers, and dates.

Note: The outstanding balance for the case will not reflect pending electronic payments, only those that are complete. The Remaining Principal Amount, Remaining Interest Amount, and Total Remaining Balance Amount fields display data in real-time as reported by HIGLAS (if available).

Letter Activity Tab

The Letter Activity tab on the Case Information page displays read-only correspondence information for the selected Case ID, except for defenses. You can select a radio button to display this information in three ways: All Correspondence, Correspondence Received, or Letters Sent. “All Correspondence” is selected by default.

The Letter Activity tab displays the following:

• Correspondence ID: Displays the Letter ID, for correspondence sent by the Commercial Repayment Center (CRC), or Document ID, for correspondence sent to the CRC (if available).

• Correspondence Type: Displays the type of correspondence that was sent or received.

  Note: If you logged in using multi-factor authentication and an image is associated with the letter, the Correspondence Type is an active hyperlink for all outgoing correspondence that will take you to the Images for Correspondence Type page. This page will allow you to view and print PDFs of the correspondence.

• Date Received: Displays the date the correspondence was received by the CRC.
• Date Sent: Displays the date the correspondence was sent by the CRC.
• Status: Displays the status of the letter (open, closed, or sent).
• Status Date: Displays the date the status was updated.

If there is more than one piece of correspondence for the selected Case ID, the system will sort them in descending order by Date Sent (for outgoing correspondence) or Date Received (for incoming correspondence) and then in descending order by Correspondence Type. If "All Correspondence" is selected, the system will list all incoming correspondence first and then show outgoing correspondence. To change the sort order, click the header of any column.

Defense History Tab

The Defense History tab on the Case Information page displays read-only information related to defenses submitted on the CRCP for the selected Case ID.

Note: If you do not see the defense you expected to see, please contact the CRC.

The Defense History tab displays the following:

• Document ID: Displays the Document ID for the defense letter for the selected Case ID.
• Defense Number: Displays the defense number assigned by the Commercial Repayment Center (CRC) to the defense letter for the selected Case ID.
• Defense Type: Displays the defense type submitted by the CRCP user.
• Defense Received: Displays the date the CRC received the defense.

• Decision: Displays the decision on the defense letter for the selected Case ID. Possible defense decisions may include: Closed, Full Payment, Invalid, Partial, Partial Payment, Pending Review, and Valid.

  Note: The CRCP will display a value of "Pending Review" in the Decision column until the associated defense is closed in the Benefits Coordination and Recovery System (BCRS). Once the defense is closed in BCRS, the CRCP will automatically update the value in the Decision column.

• Decision Date: Displays the date the CRC processed the defense. The default value is blank if there is no closure date.

• Viewed: Identifies when new decisions have been added to the account. Note: When a new decision has been added, the Account Manager will be notified via email.

  Note: When a new decision has been added, the Account Manager will be notified via email.

  The Viewed column Initially displays No for new decisions that have been added to the account. No changes to Yes after the user exits the Defense History tab. A blank in this column identifies defenses that were added to the account prior to this functionality being added to the CRCP.

If there is more than one defense for the selected Case ID and Demand Letter, the system will sort them in descending order by Decision Date. To change the sort order, click the header of any column.

Submitted Documents Tab

The Submitted Documents tab on the Case Information page displays (read-only) the documents submitted via the CRCP associated with the selected Case ID. You cannot view or download the contents of any submitted files.

The Submitted Documents tab displays the following:

• Document Name: Displays the name of the file, with the extension, that was uploaded for the case.
• Submitted Date: Displays date the document was submitted on the CRCP.

The documents appear in descending order based on the Submitted Date. To change the sort order, click the header of any column.

October 2025