Configuring exceptions ranking and claim disposition
AddClaimExceptionsdata transform rule adds all the exceptions that are
flagged in the validation process to the claim unit.
RankExceptionsdata transform rule ranks the claim exceptions and sets
the claim disposition with the disposition value that is defined for the highest ranked
ExceptionsRanking decision table to rank the exceptions. Ranking is
initially done based on the
ClaimDisposition that is defined for the
exception in the
ExceptionCodesMapping decision table. Later, it checks for
ExceptionCode and redefines the ranking. The values for the
ClaimDisposition should be defined
strictly according to values defined in the
ExceptionCodesMapping decision table.
- In the navigation panel of Dev Studio, click
- Click .
- Click the filter for Purpose and search for
- Click the corresponding 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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