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          Check Financial Authority in Claim Payment Processes

          Check Financial Authority in Claim Payment Processes

          As part of your financial authorization workflow, configure the Integration Procedure that's specified for the ClaimInitiatePaymentIP Insurance Configuration Setup custom setting. This is the same Integration Procedure that's kicked off by InsClaimItemService: invokeInitiatePaymentIP.

          Insurance Configuration Setup custom setting list with ClaimInitiatePaymentIP highlighted

          1. Add a new Remote Action called FinancialAuthorityCheck or something similar.

            Have it call InsClaimItemService: claimCoverageValuation to verify a user's financial authority.

            Remote Class

            Remote Method

            InsClaimItemService

            claimCoverageValuation

            Add remote options to set the Status of claims, claim coverages, and payment details to Pending Authority if a user doesn't have the authority to pay or approve an amount. Add another remote option to tell the service to skip the user financial authority evaluation for claim coverage payment detail records with a Status of Authority Approved.

            Key

            Value

            AuthorityFailClaimStatus

            Pending Authority

            AuthorityFailClaimCoverageStatus

            Pending Authority

            AuthorityFailClaimCoveragePaymentDetailStatus

            Pending Authority

            ClaimCovPaymentDetailStatusBypassFinancialAuthorityValuation

            Authority Approved

            FinancialAuthorityCheck Remote Action properties in Integration Procedure Designer

          2. Check the CreatePayments Remote Action, which calls InsClaimItemService: createPayments to create payments. Make sure the financial authority check comes before the CreatePayments action. This way InsClaimItemService: createPayments doesn't run unless the financial authority check passes.
            CreatePayments Remote Action properties in Integration Procedure Designer
           
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