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Social Insurance Flows Components
Review the Omnistudio components that Public Sector (formerly Public Sector Solutions) uses in the social insurance claim flows.
Required Editions
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| 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. |
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| SocialInsurance/CreateIndividualApplicationAndClaim - CreateIndividualApplicationAndClaim | Omnistudio Integration Procedure | Creates an individual application and a claim when an injured worker files a workers' compensation claim. |
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| 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. |
| 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. |
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| 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. |
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| SocialInsurance/CreateIndividualApplicationForClaimResponse - CreateIndividualApplicationForClaimResponse | Omnistudio Integration Procedure | Saves an employer's responses to a workers' compensation claim and creates an individual application. |
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| 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. |
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| 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. |
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| 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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