Set loss and expense reserves when you create or update a claim, and control which pre-payment checks run when you pay or make an ex gratia payment for a claim coverage payment detail.
- Claim Input
- This request body has these new properties.
expenseReserveAdjustmentReason—Reason for the expense reserve adjustment.expenseReserveAmount—Amount that's reserved to cover potential expenses while handling the claim, such as administrative or legal costs.lossReserveAdjustmentReason—Reason for the loss reserve adjustment.lossReserveAmount—Amount that's reserved to cover a potential payment for a loss.
- Pay Claim Coverage Payment Detail Input
- This request body has this new property.
options—Option to control the pre-payment checks.
- Pay Claim Coverage Payment Detail Options Input
- This request body has these new properties.
shouldCheckFinancialAuthority—Indicates whether the user financial authority (UFA) check runs before payment. Applies when the claim coverage payment detail is in Draft status. Whentrue, the response includeshasFinancialAuthorityandisFinancialAuthorityConfigured.shouldVerifyReserveLimit—Indicates whether the reserve-limit check runs before payment. Whentrue, the response includesremainingReserves. If a reserve is exceeded, the response includeswarnings. The payment is still processed successfully.
- Pay Ex Gratia Claim Coverage Payment Detail Input
- This request body has this new property.
options—Options that control which pre-payment checks run.
See Also
- Insurance Developer Guide: Claim Input
- Insurance Developer Guide: Claim (POST)
- Insurance Developer Guide: Claim (GET, PATCH)
- Insurance Developer Guide: Pay Claim Coverage Payment Detail Input
- Insurance Developer Guide: Pay Claim Coverage Payment Detail Options Input
- Insurance Developer Guide: Pay Claim Coverage Payment Detail (POST)
- Insurance Developer Guide: Pay Ex Gratia Claim Coverage Payment Detail Input
- Insurance Developer Guide: Pay Ex Gratia Claim Coverage Payment Detail (POST)