Brand Restriction

This feature allows access to claims of specific brands to be restricted.

It is possible to apply an access restriction to a brand to indicate that the claims of the brand can only be accessed by users with a role that includes the restriction.

Claims may span products in which case a claim could be of more than one brand.For the purpose of data access security, the claim 'brand code' will be the basis of security. The 'brand code' needs to be provided with claims when they are sent to Claims if this level of protection is needed.

Example

User Bob is granted access restriction VIP_BRAND. No access restrictions have been granted to user Pete. The following table shows for which brands they can access the claims.

Brand	Brand Access Restriction	Claims for Brand Accessible by Bob?	Claims for Brand Accessible by Pete?
VIP Brand	VIP_BRAND	yes	no
Home Brand	empty	yes	yes
Some Brand	SOME_BRAND	no	no
empty	n.a.	yes	yes

Inference Prevention

When a user searches for claims, claims of brands that they are not allowed to see will not be returned at all.This also applies when searching for one of the related entities.

Related Entities

When access to a claim is restricted, the following details are restricted also:

• Claim message

• Claim line

• Claim bill

• Claim diagnosis

• Claim line message

• Claim sub line

• Claim line diagnosis

• Claim line modifier

• Claim line rule coverage

• Claim line coverage

• Claim line benefit specification

• Claim line provider pricing clause

• Claims history in claims transaction repository

• External claims data of both working copy claim and claim transaction

• Note

• Policy product

• Policy family

• Policy waiting period start date