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Changed Connect REST API Response Bodies in Insurance Claims Management

Retrieve the current loss and expense reserve amounts when you get claim details, get warnings when a claim coverage reserve exceeds the claim-level reserve, and retrieve financial authority details, remaining reserve amounts, and warnings after payment or an ex gratia payment.

Claim Details
This response body has these new properties.
  • expenseReserveAmount—Amount that's reserved to cover potential expenses while handling the claim, such as administrative or legal costs.
  • lossReserveAmount—Amount that's reserved to cover a potential payment for a loss.
Claim Coverage
This response body has this new property.
  • warnings—Warning messages that are generated when a claim coverage reserve amount exceeds the reserve amount defined at the claim level. The API operation still completes successfully. The messages identify which reserve limits are exceeded and by how much.
Pay Claim Coverage Payment Detail
This response body has these new properties.
  • hasFinancialAuthority—Indicates whether the current user has the financial authority to approve payment of the adjusted amount. Returned when shouldCheckFinancialAuthority is true and the claim coverage payment detail is in Draft status.
  • isFinancialAuthorityConfigured—Indicates whether a User Financial Authority (UFA) record is configured for the current user. Returned when shouldCheckFinancialAuthority is true and the claim coverage payment detail is in Draft status.
  • remainingReserves—List of remaining reserves, including the remaining amount and scope of each reserve after the payment is processed. Returned when shouldVerifyReserveLimit is true.
  • warnings—Warning messages that describe which reserves were exceeded and by how much. Returned when shouldVerifyReserveLimit is true and a reserve is exceeded. The payment is still processed successfully.
Pay Ex Gratia Claim Coverage Payment Detail
This response body has these new properties.
  • hasFinancialAuthority—Indicates whether the current user has the financial authority to approve payment of the adjusted amount. Returned when shouldCheckFinancialAuthority is true and the claim coverage payment detail is in Draft status.
  • isFinancialAuthorityConfigured—Indicates whether a User Financial Authority (UFA) record is configured for the current user. Returned when shouldCheckFinancialAuthority is true and the claim coverage payment detail is in Draft status.
  • remainingReserves—List of remaining reserves, including the remaining amount and scope of each reserve after the payment is processed. Returned when shouldVerifyReserveLimit is true.
  • warnings—Warning messages that describe which reserves were exceeded and by how much. Returned when shouldVerifyReserveLimit is true and a reserve is exceeded. The payment is still processed successfully.

See Also