Validating a claim
Validate a claim to decide whether the claim can be auto adjudicated or sent for manual review.
Pega Warranty Implementation Guide
Validation of the claim occurs at two points in the claims process.
- Prevalidation
- Occurs when rules are executed before the claim is submitted to the adjudication system.
- Validation
- Occurs during the claim adjudication, after the claim has been submitted to the manufacturer.
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