Process Reassessment Details

To process reassessment details, the eligibility and entitlement engine compares the actual details to the reassessed details, i.e., the financial data. The following table illustrates this process:

Table 1. Description of Process Reassessment with Multiple Rules Objectives

Cover Period

Actual Amount

Reassessed Amount

Difference

March 12th - March 18th

0

39.60

(36 + 3.60)

-39.60

March 19th - March 25th

0

69.30

(63 + 6.30)

-69.30

March 26th - April 1st

11

(10 + 1)

69.30

(63 + 6.30)

-58.30

April 2nd - April 8th

81.40

(74 + 7.40)

69.30

(63 + 6.30)

12.10

April 9th - April 15th

83.60

(77 + 6.60)

68.40

(63 + 4.50 +.90)

15.20

April 16th - April 22nd

80.85

(77 + 3.85)

0

80.85

April 23rd - April 29th

80.85

(77 + 3.85)

0

80.85

April 30th

11.55

(11 + 0.55)

0

11.55

Totals

349.25

315.90

33.35

To determine if an over or underpayment exists, the eligibility and entitlement engine calculates the total difference between the actual amounts and the reassessed amounts.

Using the values in the Differences column in the above table, the total Difference between the actual amounts and the reassessed amounts = -39.60 + -69.30 + -58.30 + 12.10 + 15.20 + 80.85 + 80.85 + 11.55 = 33.35

The total difference, 33.35, shows that there is a new overpayment for this reassessment period. The system compares this new overpayment to any existing over or underpayments within the same reassessment period.