Claim Detail

dealer_or_external • Feb 7, 2025, 2:24 PM

@Alix M THIS WAS ALREADY SUBMITTED WITH PRE AUTH #646832 BUT THE CLAIM HAD TIMED OUT

processor • Feb 7, 2025, 3:26 PM

@Morgan Z When was the work done? GD will ask before they approve again. Thanks.

dealer_or_external • Feb 7, 2025, 5:54 PM

WORK COMPLETED 2/4/25 PARTS USED: WARR02: 822949156-SKYLIGHT 14 X 30 SMOKE LOW PROFILE COST:35.32 PRICE: 45.92 QTY: 1 677917000333-10.3oz TUBE LAP SEALANT W COST: 5.52 PRICE: 8.02 QTY: 2 050391158316-BUTYL TAPE 1/8"X3/4"X30'LT.GRA COST: 0.85 PRICE: 9.65 QTY: 1 WARR03 82200538-SADDLE BOX 39" BLACK ABS HAIR CELL TEXTURED STARTING GA .150 COST: 75.74 PRICE:98.46 QTY: 1 WARR04 8220721053-COOKTOP GRIDDLE 2 BURNER COST:181.30 PRICE:235.69 QTY:1 FREIGHT- COST:28.97 QTY:1 WARR05 82200422-S/O BOTTOM CAP TALL BLACK COST:6.89 PRICE: 7.58 QTY: 1 WARR06 82202288-DOOR CABINET 14 X 16 BROWNSTONE MAPLE ADORN RRPSQ COST: 28.57 PRICE:37.14 QTY:1 WARR07 82201773-DOOR CABINET 13 X 33 1/2 BROWNSTONE MAPLE ADORN COST:49.53 PRICE:64.39 QTY:1 FREIGHT-COST:28.54 QTY:1 WARR08 82201561-MIRROR 1/8 X 19 1/2 X 19 1/2 CC SAFETY BACKED COST:21.86 PRICE:21.86 QTY:1 82201752-DOOR CABINET 24 x 24 BROWNSTONE MAPLE COST:28.86 PRICE:37.52 QTY:1 WARR10 82200831-SOLAR CHARGE CONTROLLER 50 AMP BLACK COST:251.84 PRICE:327.39 QTY:1 FREIGHT- COST:16.14 QTY:1 FREIGHT-COST:14.45 QTY:1

processor • Feb 10, 2025, 10:19 AM

PA 840461 has been submitted for approval due to more time being requested on some of these lines.

processor • Feb 11, 2025, 9:04 AM

This was denied. Dealer must complete the work within 6 months from the approval date and the job must be claimed within 45 days of the service completion date. If the work is not completed and claimed within this time frame, the approval is void and will be denied. @Chris B

processor • Feb 11, 2025, 10:40 AM

Alix Mongiat Morgan Zywicki The in date must be incorrect. It says it cam in before the unit was sood in 2023. Morgan Zywicki Please research this and try and find the correct incoming date so this will pay. Thanks

dealer_or_external • Feb 18, 2025, 11:52 AM

IT WAS A STOCK UNIT SO THIS CLAIM WAS MADE WHEN THE UNIT WAS BROUGHT IN FOR PREP TO BE ON THE SALES LOT. THIS CLAIM WAS ORIGINALLY APPROVED BUT THE CLAIM HAD TIMED OUT BEFORE REPAIRS WERE FINISHED

dealer_or_external • Feb 25, 2025, 10:34 AM

@Chris B @Alix M @Morgan Z THIS UNIT WAS FIRST BROUGHT IN IN FEBRUARY OF 23 FOR THE STOCK PREP. THE UNIT WAS THEN SOLD AND THE CUSTOMER PICKED IT UP IN THE BEGINNING OF MAY. WE DID NOT GET ALL OF THE PARTS FOR THE REPAIRS AND THE CUSTOMER DID NOT WANT TO MAKE MULTIPLE TRIPS FOR THE REPAIRS. WE DID NOT GET ALL OF THE PARTS IN UNTIL AUGUST.. BY THAT TIME, THE CUSTOMER HAD BEEN TRAVELING WITH THE UNIT AND WOULD NOT BE BRINGING THE UNIT IN UNTIL THE END OF THE SEASON AS HE WAS OUT OF STATE. THE CUSTOMER THEN DROPPED THE UNIT BACK OFF FOR REPAIRS ON NOVEMBER 27TH. BY THAT TIME WE WERE ALREADY DOING ROOF /FLOOR REPLACEMENTS AND THE SHOP WAS FULL. WE THEN SHUT DOWN FOR THE HOLIDAYS. UPON REOPENING WE HAD TO FINISH THE ROOF JOBS TO PREVENT ANY FURTHER WATER DAMAGES TO UNITS. THE REPAIRS ON THIS UNIT, DUE TO PARTS BEING ON BACKORDER... SPECIFICALLY FROM GRAND DESIGN, WERE NOT DONE IN THE TIME FRAME BECAUSE WE BARELY EVEN GOT THE PARTS IN THE 6 MONTH TIME FRAME.

processor • Feb 25, 2025, 11:14 AM

@Kaitlyn R Sounds good! @Alix M Let me know if you need me to get involved. Thanks!

processor • Feb 25, 2025, 11:26 AM

I have emailed GD to with this notes. Moving back to PA pending.

processor • Feb 26, 2025, 12:02 PM

Morgan Zywicki Kaitlyn Reinwand I am adding GD’s response to this folder. Let me know how/if you would like to respond. They are keeping this denied as of right now.

dealer_or_external • Feb 26, 2025, 12:23 PM

@Alix M IS THERE ANYWAY THAT YOU COULD ATTACH THIS DIFFERENTLY? WE CANT READ THE ENTIRE THING. IT CUTS OFF AFTER "UNIT BEFORE" ON LINE 2 AND "OUT OF STATE" ON LINE 3

processor • Feb 26, 2025, 12:24 PM

Yes, I will do that shortly. I tried doing it from my phone so I wasn’t sure how it would work.

processor • Feb 26, 2025, 12:24 PM

was reviewing your reapproval request, and this is what I found. The original PA# 646832 was approved on 2/24/23. This is well outside of the reapproval guidelines for reapproving pre-auths. The customer didn’t purchase the unit until 5/23/23. That would have given your dealership 3 months to order parts and complete the repairs on the unit before the customer purchased the unit. “We did not get all of the parts in until August and by that time the customer had been traveling with the unit and would not be bringing the unit in until the end of the season as he was out of state.” I looked into your Sales Orders, and I see that the part that you stated was received in August, was ordered twice, once in March and again in August. Then an RA was filed with the parts department by your dealership on the order that was ordered and shipped in August, stating “Return for credit / Full reimbursement / RTS / DUPLICATE ORDER.”

processor • Feb 26, 2025, 12:25 PM

That is what the email states until I am able to grab the computer

processor • Feb 26, 2025, 12:25 PM

was reviewing your reapproval request, and this is what I found. The original PA# 646832 was approved on 2/24/23. This is well outside of the reapproval guidelines for reapproving pre-auths. The customer didn’t purchase the unit until 5/23/23. That would have given your dealership 3 months to order parts and complete the repairs on the unit before the customer purchased the unit. “We did not get all of the parts in until August and by that time the customer had been traveling with the unit and would not be bringing the unit in until the end of the season as he was out of state.” I looked into your Sales Orders, and I see that the part that you stated was received in August, was ordered twice, once in March and again in August. Then an RA was filed with the parts department by your dealership on the order that was ordered and shipped in August, stating “Return for credit / Full reimbursement / RTS / DUPLICATE ORDER.” At this time, the denial for your reapproval request will remain denied without the option to submit for coverage at a later date. Thank you, Christine Weist

processor • Feb 26, 2025, 4:33 PM

I have added the email to the folder now. I am moving this to PA information needed. Let me know how you want to proceed.

processor • Feb 26, 2025, 4:33 PM

@Chris B

processor • Mar 17, 2025, 1:44 PM

@Morgan Z @Kaitlyn R I am adding GD’s response to this folder. Let me know how/if you would like to respond. They are keeping this denied as of right now.

dealer_or_external • Mar 18, 2025, 2:58 PM

@Alix M I am moving this to ready to submit. We had Dan Kussow from Grand Design in today and he has approved and updated this claim

processor • Mar 18, 2025, 5:53 PM

@Bonnie K @Morgan Z I will need invoices for this. I assume they will want this submitted ASAP. Thanks.

dealer_or_external • Mar 19, 2025, 12:12 PM

@Alix M UPLOADED INVOICES

processor • Mar 19, 2025, 12:22 PM

@Bonnie K I don't see an invoice for the Skylight for Warranty Repair 2. Also, the S/O Bottom cap tall black for Warranty Repair 5. Please advise.

processor • Mar 19, 2025, 12:25 PM

@Morgan Z The two freight charges for Warranty Repair 10, did GD send the wrong part the first time? Thanks.

dealer_or_external • Mar 19, 2025, 12:41 PM

YES

processor • Mar 19, 2025, 2:46 PM

Following up because we still need an invoice for the Skylight and then there is a part for Warranty Repair 5. Please advise.

dealer_or_external • Mar 19, 2025, 3:56 PM

@Alix M MY APOLOGIES, I THOUGHT THAT I HAD THOSE IN THERE BUT THEY ARE NOW.

processor • Mar 19, 2025, 4:28 PM

Claim 882405 has been submitted for payment.

processor • Mar 28, 2025, 9:56 AM

This paid on 3/26/25 on check 595101. Extra shipping was denied; you will have to reach out to the parts department and follow their procedures to be reimbursed for the shipping of an incorrect part.