Configuring exceptions ranking and claim disposition
The AddClaimExceptions
data transform rule adds all the exceptions that are
flagged in the validation process to the claim unit.
The RankExceptions
data transform rule ranks the claim exceptions and sets
the claim disposition with the disposition value that is defined for the highest ranked
exception.
Use the ExceptionsRanking
decision table to rank the exceptions. Ranking is
initially done based on the ClaimDisposition
that is defined for the
exception in the ExceptionCodesMapping
decision table. Later, it checks for
the ExceptionCode
and redefines the ranking. The values for the
ExceptionCode
and ClaimDisposition
should be defined
strictly according to values defined in the ExceptionCodesMapping
decision table.
- In the navigation panel of Dev Studio, click
- Click .
- Click the filter for Purpose and search for
ExceptionsRanking
. - Click the corresponding rule to open it.
- Configure as needed and save the rule into your implementation layer. For additional information about locked and unlocked rulesets, see Copying a rule or data instance.
- Click Save.
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