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Configuring Evaluate auto pay

Updated on March 18, 2021

Extend your application layer with the PegaMfg-AMS-Work-WR-CL-ClaimUnit.EvaluateAutoPay data transform to apply the decision logic to auto-adjudicate a claim. PegaMfg-AMS-Work-WR-CL-ClaimUnit.EvaluateAutoPay rule calls the PegaMfg-AMS-Work-WR-CL- ClaimUnit.EvaluateAutoPay decision tree to determine if the claim should be automatically paid.

This decision tree returns a paid value whenever a claim unit is created from a prior approval and is not modified, or when the total coverage amount is less than or equal to a pre-configured value, for example, $999.

  1. In the navigation panel of Dev Studio, click Records.

  2. Click Decision > Decision Tree.

  3. Click the filter for Decision Tree and search for EvaluateAutoPay.

  4. Click the 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.

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