Copy the following rules in your ruleset to extend the claim lookup and processing:
|OpenClaim||Activity||Searches for claim by submitted Payer Claim Control Number.|
|SetValueForCreateClaimRequest||Activity||Maps claim information from matched claim.|
|SetClaimValues||Activity||Sets information is matching claim is not found.|
For additional information, refer to the Healthcare X12 EDI Message Management Technical Specifications on the Pega Foundation for Healthcare product page.