Extending processing
Copy the following rules in your ruleset to extend the claim lookup and processing:
| Name | Type | Description |
| 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.
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