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About Claims Processing Rules


Claims processing rules apply to PWAs and warranty claims. After a user submits a claim, the Status field of the claim is set to Approved or Approval In Progress. Before this occurs, a series of rules are verified.

NOTE:  When the total amount claimed is less than $1000, the claim is automatically approved.

Table 32 describes the conditions that are being validated and the result when the claim is selected.

Table 32. Claims Processing Rules: Conditions and Results
Condition
Result

If the Claim Type field is set to Good Will ...

Then the status of that particular line item is set to Office Referral, and the status of the PWA or claim is set to Approval In Progress.

If the Requested Amount field for a line item is more than $1000 ....

Then the status of that particular line item is set to Office Referral, and the status of the PWA or claim is set to Approval In Progress.

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