CreateClaim
The business rule provides the ability to configure an activity-based creation of a new claim, based on events occurring on an existing policy. This rule can be used when a claim should be created at a policy or client level. One or more claims may be generated from a single source policy, but only one new claim per activity is supported. Multiple claims are allowed in a single policy based on the events. This business rule must be attached to a non-reversible activity and must be listed in the TransactionBusinessRulePacket.
Element/Tag | Definition | Attribute | Element/Attribute Value and Description |
---|---|---|---|
<CreateClaim> | The required opening and closing elements of this business rule. |
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<Claims> | Required element: Required when creating multiple claims. | ||
<Claim> | Required & Repeatable element: Required when creating a claim. | ||
ENTITYGUID |
Required attribute: Identifies the ENTITYGUID for the Claim. MathVariable or field containing a ClaimEntityGUID (Client, Policy, Segment). The Mathvariable can be passed as a value. |
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ENTITYTYPE | Required attribute: Identifies the ENTITYTYPE for the Claim. | ||
STATUSCODE |
Required attribute: Identifies the STATUSCODE for the Claim. The following status codes can be used for the Claim. Mathvariable can be passed as a value for this. Claim status code from AsCode => AsCode/AsCodeClaimStatus table INTIMATED PENDINGDOC PENADDLDOC REGISTERED PROCSGPEND APPROVED REJECTED SETTLED CLOSED |
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<Tests> | Optional element: Defines the section holding the tests that will determine if the Claim record is to be created. | ||
<Test> | Repeatable element: Standard expressions comparing fields or math variables. | ||
<Fields> | Required element: Identifies the Field section | ||
<Field> | Required, repeatable element: Contains the instructions for the specified "To" field. This element (and sub elements) may be omitted if the default field values are desired. The <Field> tag is used to update a field in AsClaim table by passing the required information from the transaction or requirement. |
ClaimAmount CurrencyCode ClaimEffectiveDate ClaimReferenceNumber ClientGUID ClaimGUID ClaimEntityGUID ClaimEntityType StatusCode OriginatingActivityGUID ClaimTypeCode Note: Currently, the fields are fixed fields in this scope. |
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<From> | This element is used to specify the MathVariable or field from which the data should be copied. | The name of the activity field or MathVariable that data is being copied from. | |
<To> | This element is used to specify the field on the Claim screen to which the data should be copied. | The name of the Claim that data is being copied to. The value of the <To> tag will be saved in the AsClaim database table. |
XML Schema
<CreateClaim>
<Claims>
<Claim>
<Tests>
<Test>CreateClaim==True</Test>
</Tests>
<Fields>
<Field>
<From>ClaimAmount</From>
<To>ClaimAmount</To>
</Field>
<Field>
<From>ClaimEffectiveDate</From>
<To>ClaimEffectiveDate</To>
</Field>
<Field>
<From>ClaimReferenceNumber</From>
<To>ClaimReferenceNumber</To>
</Field>
</Fields>
</Claim>
</Claims>
</CreateClaim>