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Adding exceptions to the claim

Updated on March 18, 2021

Claim exceptions are updated during validation process in the ClaimExceptions top-level page.

The AddClaimExceptions data transform fetches the exception message and disposition from the ExceptionCodesMapping decision table. Then, it loops through the exceptions present in the ClaimExceptionstop-level page and adds them to the claim unit. It also ensures that there are no duplicated exceptions within the claim.

Use the PegaMfg-Data-ClaimCmp-ClaimExceptionCode.ExceptionCodesMapping decision table to define the exception message and claim disposition for each exception code.
  1. In the navigation panel of Dev Studio, click Records.
  2. Click Decision > Decision Table.
  3. Click the filter for Purpose and search for ExceptionCodesMapping.
  4. Click the corresponding rule to open it.
  5. Configure as needed and save the rule into your implementation layer. For additional information about locked and unlocked rulesets, see Copying a rule or data instance.
  6. Click Save.

    The code description defined in this table appears in the case overview section of the claim unit. The ClaimDisposition for each exception defined in this table is used in ranking the exceptions and deciding the claim disposition.

  • Previous topic Configuring BOM validation sub flow rules
  • Next topic Configuring exceptions ranking and claim disposition

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