Number of claims submitted to the organization that were rejected during the reporting period.
Number of claims submitted to the organization that were rejected during the reporting period.
Organizations should footnote all assumptions used, as well as the reasons for rejecting claims. See usage guidance for further information.
This metric is intended to capture the number of claims that were disqualified from benefit payment (in other words, rejected) for any reason.
Examples of reasons for which claims might be rejected, to footnote, include, among others, submission for uncovered events, submission before a waiting period has lapsed, or claim by an insured person who is no longer covered (due, for instance, to expiration of the coverage period or attainment of maximum eligible age).
June 2022 - IRIS v5.3 Released (current version)
Immaterial change. Minor revisions to definition and usage guidance for clarity.
January 2020 - IRIS v5.1 Released
No change.
May 2019 - IRIS v5.0 Released
No change.
March 2016 - IRIS v4.0 Released
Immaterial change. Minor revision to definition language for clarity.
March 2014 - IRIS v3.0 Released
New metric. Claims Rejected (PI3383) was developed via the Microinsurance Network.