UpdateClaimsStatus

This business rule processes and updates any status changes on a Claim. Processing the transaction or requirement to which this business rule is attached will change the status of the claim to the one specified in this rule. For example, changing the claim status from "Claim Registered" to "Claim Approved".

Note: A Claim can be updated ONLY by the same entity on which the OriginatingActivityGUID exists.

UpdateClaimStatus Elements/Attributes Table
Element/Tag Definition Attribute Element/Attribute Value and Description
<UpdateClaimStatus> The opening and closing tag for the business rule

 

 

<Update> Required: Determines whether the Claim's status should be changed or not.  

Required: String

Yes: Indicates the Claim's status should be changed.

No: Indicates the Claim's status should not be changed. (The value Yes/No will take priority over the IFF condition)

    IFF

If the Update is "Yes" then the update to status is done with IF condition evaluated.

Optional:String: ="EXPRESSION" For example: IFF = "1=1"

The condition that MUST be satisfied (IFF means If and Only If) in order to change the status.

<To-StatusCode> Required: Indicates the claim status code that the Claim's status should change to.  

Required element value: Code

Claim status code from AsCode => AsCode/AsCodeClaimStatus table.

INTIMATED

PENDINGDOC

PENADDLDOC

REGISTERED

PROCSGPEND

APPROVED

REJECTED

SETTLED

CLOSED

XML Schema

<UpdateClaimStatus CLAIMGUID="[Math Variable]">
<Update IFF=(Expression) >Yes</Update>
<To-StatusCode></To-StatusCode>
</UpdateClaimStatus>

 

 

 

 

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