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Catastrophe action code

Updated on April 26, 2021

The catastrophe action code (A-418) enables the SCE to identify claims that have been made in areas affected by a natural catastrophe. The configuration for this utilizes a series of extensible decision tables which perform the following actions. If all the criteria on the supporting tables are matched, the A-418 catastrophe action code is assigned. The primary use case for this configuration is to turn off specific event codes or change any limitations in liability calculations. For example: bypassing authorization requirements, timely filing limits and out of network provider restrictions. This action code is provided as part of the claim business edits module.

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