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Social Insurance Claim Flows Prerequisites
Before you set up social insurance claim flows in Public Sector Solutions, complete the prerequisites.
Required Editions
Enable Standard Omnistudio Runtime
Required Editions
| User Permissions Needed | |
|---|---|
| To enable Omnistudio settings: | Customize Application |
To enable standard Omnistudio runtime, turn off the Omnistudio managed package runtime.
- From Setup, in the Quick Find box, enter Omnistudio Settings, and then select Omnistudio Settings.
- Disable Managed Package Runtime.
Enable Program and Benefit Management
Required Editions
| User Permissions Needed | |
|---|---|
| To enable program and benefit management settings: | Customize Application |
- From Setup, in the Quick Find box, enter Benefit, and then select Program and Benefit Management Settings.
- Turn on Create and manage your programs, benefits, and goals.
- Select Benefit Disbursement Settings, and then turn on Create and manage benefit disbursements.
Enable Provider Management
Required Editions
| User Permissions Needed | |
|---|---|
| To enable provider management settings: | Customize Application |
- From Setup, in the Quick Find box, enter Provider Management, and then select Provider Management Settings.
- Turn on Provider Management: Let users manage a network of providers, their facilities, and their specialties.
- Turn on View Healthcare Details: Let users see healthcare-specific details for providers.
Enable Person Accounts
Required Editions
| User Permissions Needed | |
|---|---|
| To enable person accounts: | Customize Application AND View All Profiles |
- From Setup, in the Quick Find box, enter Person Accounts, and then select Person Accounts.
- Acknowledge the implications of using person accounts.
- Verify that the Account object has at least one record type.
- Verify that user profiles that have Read permission on Accounts also have Read permission on Contacts.
- Set the org-wide default sharing for Contacts to Controlled by Parent or set the sharing settings for Accounts and Contacts to Private.
-
Turn on Person Accounts.
Salesforce creates the person account record type. If needed, create additional record types for Person Accounts.
- Assign the person account record type to user profiles.
Turn on Discovery Framework
Required Editions
| User Permissions Needed | |
|---|---|
| To enable Discovery Framework: | Customize Application |
- From Setup, in the Quick Find box, enter Discovery Framework, and then, under Assessments, select General Settings.
- Turn on Discovery Framework.
Assign Permissions
- Benefit Disbursement Access
- Dynamic Assessment Access
- OmniStudio Admin
- Program and Benefit Management Access
- Provider Management Access
- Public Sector Access
Alternatively, assign the admins the Public_Sector_Solutions_Admin permission set group to assign them the required permission sets. The permission set group also provides access to additional common features that the admins can set up for users.
See View and Assign Permission Sets in Public Sector Solutions and View and Assign Permission Set Groups in Public Sector Solutions.
Set Field-Level Security
Give users access to fields that aren't visible by default for the social insurance claim flows. See Modify Field Access Settings.
Configure Application Types for Workers’ Compensation Claims
For the Application Type field on the Individual Application object, create the picklist values Filed Claim and Acknowledged Claim. When an employee files a workers’ compensation claim through the guided flow, the flow creates an individual application whose type is Filed Claim. When the employer responds to the claim through the guided flow, the flow creates an individual application whose type is Acknowledged Claim.
Required Editions
| User Permissions Needed | |
|---|---|
| To create picklist values: | Customize Application |
- From the object management settings for individual applications, go to Fields & Relationships.
- Select Application Type.
- For Application Type Picklist Values, click New.
- In the text box, on separate lines, enter Filed Claim and Acknowledged Claim.
- Save your changes.


Create an Application Record Type and Configure Usage-Based Pricing
Required Editions
Create Records for Typeahead Search
The File a Claim flow requires constituents to search for and select their employer, healthcare provider, and the type of injury. For the search functionality to work as intended, ensure that you create these records.