Context Definitions for Insurance Claims

Insurance Claims Management supports two prebuilt context definitions. A context definition defines the relationship between the nodes and the attributes within each node. Your users can use nodes and attributes to easily access the relevant data from the mapped data source. Both context definitions provide a structured extensible framework that maps relationships between various objects. The context service manages and interacts with Claim data, letting services access, save, and modify mapped source data during transactions. Users can extend these standard contexts to include specific details tailored to their unique business needs, providing flexibility and comprehensive data handling.

• Claims Context: Within this context, the SalesTransaction context nodes are mapped to Claim, Claim Attribute, Claim Item, Claim Item Attribute, and Claim Item Related Object. The Standard Configurator searches for SalesTransaction context nodes during the execution of claim workflow rules. This context is used during business processes such as the FNOL process, creating, updating, and retrieving claims, as well as for claim workflow rules.

• Policy Limit Context: This context maps relationships for the Insurance Policy Limit, Insurance Policy Limit Tracking, and Claim Coverage Payment Detail objects. This context is used during the execution of default expression sets to calculate claim adjustments and process limits.

• Configure Claim Context Mapping
  You can select only one active context definition for the configuration.