Claim Message Group Restriction

This feature provides for restriction of addition and removal of claim-, bill- and claim line messages based on message group. Each message group can be restricted with an access restriction. Any message that is in a group that is not restricted can be added and removed by any user (even if the message is also in one or more restricted groups). Messages not in any group can be added and removed by any user. Users have access to a restricted group if they have a role that includes the restriction of the group.

Any message that is only in restricted groups can only be added to claims, bills, and claim lines by users that have a role with 'create' permission for at least one of the groups that contains the message. Likewise, any message that is only in restricted groups can only be removed by users that have a role with 'delete' permission for at least one of the groups that contains the message.

There are no restrictions on viewing messages. All users can see all messages of the claims that they are allowed to view.

Table 1. Example
Message Group Access Restriction Messages in Group

G1

empty

M1,M2

G2

NONCOVERED

M2,M3

User Bob is granted access restriction NONCOVERED. No access restrictions have been granted to user Pete. The following table shows which messages they can access.

Table 2. Messages Table
Message Can Bob add or delete? Viewable by Bob? Can Pete add/delete? Viewable by Pete?

M1

yes

yes

yes

yes

M2

yes

yes

yes

yes

M3

yes

yes

no

yes

M4

yes

yes

yes

yes

Inference Prevention

Not applicable.

Related Entities

Not applicable.

Related APIs

The following APIs check for message group access

  • POST/PUT/PATCH Generic API claims, claimlines

  • Claims In IP

  • Claims Update IP