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Executing orchestrations

Updated on April 26, 2021

There are two methods that the Smart Claims Engine uses when deciding which orchestration to execute. The first is a configurable decision table utilizing information on the claim to help identify the appropriate orchestration. The second is utilizing the orchestration that is passed as part of the Put or Post claim API payload. In addition, you can also manually select the appropriate orchestration to execute in the test claim interface. Each time the claim is executed, the orchestration will be reselected based upon the information in the claim.

Note: If a claim processing in an orchestration gets into an infinite loop due to a bad configuration or design, event code SGB-0022 will be assigned, causing the loop to be broken and the claim to be routed to a system workbasket for review.

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