---
schema_version: "1"
id: 7297257842aa4f342ead26d8b1f7b65ee126b8a3381730a582ffb9474937eef8
title: Insurance Claims Developer Journey
collection: legacydeveloper
version: current
locale: en-us
portal_url: https://docs.salesforce.com/legacydeveloper/current/en-us/insurance_developer_guide/insurace_claims_dev_journey.md
canonical_url: https://developer.salesforce.com/docs/atlas.en-us.insurance_developer_guide.meta/insurance_developer_guide/insurace_claims_dev_journey.htm
source_site: developer.salesforce.com
content_type: documentation
content_hash: 26417f5a6f99d2deb57f56356a9f8709473628f0e6189c5d09f06de554126863
description: Learn how to effectively use the Insurance Claims Connect APIs, along with the associated invocable actions, to automate end-to-end claims processing workflows, from initial coverage verification to final payment settlement or cancellation by using Salesforce Flows and Omniscripts.
---
# Insurance Claims Developer Journey

Learn how to effectively use the Insurance Claims Connect APIs, along with the associated invocable actions, to automate end-to-end claims processing workflows, from initial coverage verification to final payment settlement or cancellation by using Salesforce Flows and Omniscripts.

This guide walks you through the complete claims lifecycle, explaining:

- The business scenario behind a claim.
- The sequence of API calls across the Claims and Financial domains.
- The data states and system transitions at each step.
- The standard claim resolution flow for successful payments.
- The exception paths for voiding or canceling payments.

| Key TERMS | DESCRIPTIONS |
| --- | --- |
| Coverage Validation | Confirms policy status, coverage type, and claim eligibility. |
| Claim Coverage Payment Detail (CCPD) | The payment record that’s created for each coverage-level payment request. |
| Claim Status | Represents lifecycle stages, such as Submitted, Pending Review, Approved, and Paid. |
| Deductible | The portion of loss the policyholder pays before insurer coverage applies. |
| Limit | The maximum payout that’s allowed for a policy coverage type. |

- **[Claims Processing Journey](https://developer.salesforce.com/docs/atlas.en-us.insurance_developer_guide.meta/insurance_developer_guide/claims_workflow.htm)**  
    A claim is a formal request submitted by a policyholder to receive benefits or compensation for a covered loss under an active insurance policy. A claim journey begins when the policyholder reports an incident, such as damage, injury, or another qualifying event that they believe is covered by their policy.