Configuring Evaluate auto pay
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.
- In the navigation panel of Dev Studio, click
- Click .
- Click the filter for Decision Tree and search for
EvaluateAutoPay.
- Click the rule to open it.
- 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.
- Click Save.
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