PUT claim service rule takes claim JSON as parameter and finds the claim with the Claim ID passed in the JSON. If found, updates with input JSON, adjudicates and then returns the Claim ID in JSON format.

URL format

PUT https://[hostname:port]/prweb/PRRestService/healthcareapi/v1/Claims

Output

{

"Claim ID": "2017299P0000006000",

"methodStatus": "Good"

}

Key rules

Rule name	Rule type	Usage
Class: PegaHC-Int-Claims
PutClaimAPI	Service activity	Method in REST service to update claim and adjudicate and then return claim ID as response.
Claims	Service REST	REST service rule that identifies the path, parameters, and methods
MapToEntityWrapper	Data Transform	Wrapper DT which calls “MapToEntity” and can be extended for Extension.
MapToEntity	Data Transform	Maps the JSON properties to Claim.
PutClaimAPI_Extension	Activity	Tries to identify the Claim in the system with the given ClaimID in the JSON; then maps claim JSON to PegaClaim work object, merges the incoming claim with the identified claim in the system and calls CE_Main_2 work flow to adjudicate the claim as per the orchestration id mentioned in the JSON and returns Claim ID of the adjudicated claim.

• Business service APIs