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Insurance
Customize Data Entry and Calculations for Claim Coverage Payments

Customize Data Entry and Calculations for Claim Coverage Payments

Configure the fields that a claim adjuster fills to add a loss or expense item for a claim coverage. Use the fields in your custom Expression Sets or Integration Procedures to calculate the adjusted claim amount and process limits with contextual data.

Required Editions

View supported editions.

The payment detail configuration is a mapping that links a specific coverage product to a custom user interface or custom logic.

  • Field Sets: You can create custom Field Sets on the Claim Coverage Payment Detail (CCPD) object. By configuring a product to a field set, define both the fields that appear in the data entry form and the contextual data that's available to your calculation logic. See Contextual Data in Custom Calculations.
  • Expression Sets and Integration Procedures: For more advanced scenarios involving Loss Items, you can configure an Expression Set or Integration Procedure to override the default system logic for calculating adjusted amounts or processing limits.
  • Loss and Expense Mapping: The configuration is separate for Loss and Expense items. Expense item mapping typically requires only a Field Set as complex calculation overrides are less common.
 
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