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          Social Insurance Flows Components

          Social Insurance Flows Components

          Review the Omnistudio components that Public Sector (formerly Public Sector Solutions) uses in the social insurance claim flows.

          Required Editions

          View supported product editions.
          File a Claim Flow Components
          Component Type Description Invoked Components
          SocialInsurance/FileClaim - File A Claim Omniscript A claim form for injured workers to use to file for workers’ compensation benefits.
          Omnistudio Integration Procedure
          • CreateIndividualApplicationAndClaim
          Omnistudio Data Mappers
          • PSSSocInsCreatePreliminaryApplicationReference
          • PSSSocInsGetMatchingAccounts
          • PSSSocInsGetMatchingEmployerAccounts
          • PSSSocInsGetMatchingHealthcareProviders
          • PSSSocInsSaveAssessmentResponsesToPDF
          • PSSSocInsConfirmClaimFiling
          • PSSSIReviewUploadDocuments
          Omnistudio Flexcards
          • PSSSocInsConfirmClaimFiling
          • PSSSIReviewUploadDocuments
          SocialInsurance/CreateIndividualApplicationAndClaim - CreateIndividualApplicationAndClaim Omnistudio Integration Procedure Creates an individual application and a claim when an injured worker files a workers' compensation claim.
          Omnistudio Data Mappers
          • PSSSocInsCreateClaim
          • PSSSocInsCreateIndividualApplication
          • PSSSocInsGetPersonAccountIDOfApplicant
          PSSSocInsCreateClaim Omnistudio Data Mapper Creates a claim record when an injured worker files a workers' compensation claim.  
          PSSSocInsCreateIndividualApplication Omnistudio Data Mapper Creates an individual application when an injured worker files a workers' compensation claim.  
          PSSSocInsCreatePreliminaryApplicationReference Omnistudio Data Mapper Creates a preliminary application reference when an injured worker files a workers’ compensation claim.  
          PSSSocInsGetMatchingAccounts Omnistudio Data Mapper Gets up to 100 business accounts with names matching the characters entered by the injured worker during a typeahead search, allowing them to select the employer responsible for the work site from the search results.  
          PSSSocInsGetMatchingEmployerAccounts Omnistudio Data Mapper Gets up to 100 business accounts with names matching the characters entered by the injured worker during a typeahead search, allowing them to select their employer from the search results.  
          PSSSocInsGetMatchingHealthcareProviders Omnistudio Data Mapper Gets the healthcare providers whose names have the characters entered by the injured worker for typeahead search.  
          PSSSocInsGetPersonAccountIDOfApplicant Omnistudio Data Mapper Gets the person account ID of the logged-in Experience Cloud site user.  
          PSSSocInsSaveAssessmentResponsesToPDF Omnistudio Data Mapper Saves the injured worker’s assessment responses to a PDF file. Used in the PDF action.  
          PSSSocInsConfirmClaimFiling Omnistudio Flexcard Confirms that an injured worker has filed a workers compensation claim and gives a reference ID to track the claim.  
          PSSSIReviewUploadDocuments Omnistudio Flexcard Shows the supporting documents uploaded by the injured worker in the Review step.  
          WorkersCompensationClaimTemplate.pdf Fillable PDF Template The injured worker's assessment responses are saved to a PDF file by using this template.  
          Respond to Claim Flow Components
          Component Type Description Invoked Components
          SocialInsurance/RespondToClaim -Respond to Claim Omniscript Allows an employer to verify the details in a worker compensation claim and provide further information required to process the claim.
          Omnistudio Integration Procedures
          • CheckClaimResponseStatus
          • CreateIndividualApplicationForClaimResponse
          • GetContentDocumentsForEmployeeFiles
          • LoadEmployeeResponsesForVerification
          Omnistudio Data Mappers
          • PSSSocInsAddClaimIdToJSON
          • PSSSocInsCreatePreliminaryApplicationReference
          Omnistudio Flexcards
          • PSSSocInsConfirmClaimResponse
          • PSSSIReviewUploadDocuments
          SocialInsurance/CheckClaimResponseStatus - CheckClaimResponseStatus Omnistudio Integration Procedure Checks whether the employer has responded to a workers' compensation claim filed by an injured worker. The check is done by getting an individual application of type Acknowledged Claim associated with the claim.
          Omnistudio Data Mappers
          • PSSSocInsFetchClaimDetails
          • PSSSocInsFetchIndvApplnForEmployerResponse
          SocialInsurance/CreateIndividualApplicationForClaimResponse - CreateIndividualApplicationForClaimResponse Omnistudio Integration Procedure Saves an employer's responses to a workers' compensation claim and creates an individual application.
          Omnistudio Data Mappers
          • PSSSocInsCreateIndividualApplication
          • PSSSocInsFetchClaimDetails
          • PSSSocInsGetPersonAccountIDOfApplicant
          SocialInsurance/GetContentDocumentsForEmployeeFiles - GetContentDocumentsForEmployeeFiles Omnistudio Integration Procedure Gets the assessment completed by the injured worker to file a workers' compensation claim and the content documents for the files that the injured worker has uploaded during the assessment.
          Omnistudio Data Mappers
          • PSSSocInsCreateContentDocumentCollection
          • PSSSocInsFetchEmployeeAssessment
          • PSSSocInsGetContentDocuments
          SocialInsurance/LoadEmployeeResponsesForVerification - LoadEmployeeResponsesForVerification Omnistudio Integration Procedure Loads the information provided by the injured worker for verification when an employer responds to a workers' compensation claim.
          Omnistudio Data Mapper
          PSSSocInsFetchEmployeeAssessment
          PSSSocInsAddClaimIdToJSON Omnistudio Data Mapper Adds the claim ID of the workers’ compensation claim filed by the injured worker as the context ID in the Respond to Claim Omniscript JSON.  
          PSSSocInsCreateContentDocumentCollection Omnistudio Data Mapper Creates an array of content document JSON objects.  
          PSSSocInsCreateIndividualApplication Omnistudio Data Mapper Creates an individual application when an employer responds to a workers' compensation claim.  
          PSSSocInsCreatePreliminaryApplicationReference Omnistudio Data Mapper Creates a preliminary application reference when an employer responds to a workers’ compensation claim.  
          PSSSocInsFetchClaimDetails Omnistudio Data Mapper Gets the details of the workers' compensation claim filed by the injured worker.  
          PSSSocInsFetchEmployeeAssessment Omnistudio Data Mapper Gets the latest assessment that the injured worker completed to file a workers’ compensation claim.  
          PSSSocInsFetchIndvApplnForEmployerResponse Omnistudio Data Mapper Checks whether an individual application of type Acknowledged Claim exists for the workers' compensation claim. If so, gets the corresponding record.  
          PSSSocInsGetContentDocuments Omnistudio Data Mapper Gets the files that were uploaded for an assessment.  
          PSSSocInsGetPersonAccountIDOfApplicant Omnistudio Data Mapper Gets the person account ID of the logged-in Experience Cloud site user.  
          PSSSocInsSaveEmployerAssessmentResponsesToPDF Omnistudio Data Mapper Saves the employer’s assessment responses to a PDF file.  
          PSSSocInsConfirmClaimResponse Omnistudio Flexcard Confirms that an employer has responded to a workers compensation claim.  
          PSSSIReviewUploadDocuments Omnistudio Flexcard In the Review step, shows the supporting documents uploaded by the injured worker.  
          WorkersCompensationResponseTemplate.pdf Fillable PDF Template An employer verifies information in a workers' compensation claim and completes an assessment to provide comments and details. The employer's assessment responses are saved to a PDF file by using this template.  
           
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