ApiGenerated
ClaimStatus
ClaimStatus type definition
ClaimStatus
ClaimStatus type definition
Properties
id(string): Unique identifier for the status record.claim([[InsuranceClaim]]): The claim this status applies to.status(string): Current status (submitted, under-review, investigating, pending-info, approved, denied, closed, appealed, settled).substatus(string): Detailed substatus for additional context.phase(string): Processing phase (intake, investigation, evaluation, decision, payment, closure).stage(number): Numeric stage indicator.description(string): Human-readable description of current status.reason(string): Reason for current status.changedBy([[User]]): User who changed the status.changedDate(number): Date when status was changed (Unix timestamp).previousStatus(string): Previous status before this change.nextSteps(string[]): Expected next steps in the process.pendingActions(string[]): Actions required to advance status.blockers(string[]): Issues blocking progress.assignedTo([[User]]): User currently responsible for claim.dueDate(number): Expected completion date for current stage (Unix timestamp).slaStatus(string): Service level agreement status (on-time, at-risk, overdue).daysInStatus(number): Number of days in current status.totalDaysOpen(number): Total days since claim was filed.notifications(object[]): Notifications sent about this status.history(object[]): Complete status change history.metadata(object): Set of key-value pairs for storing additional information.
Actions
update
Update the claim status.
Input: [[StatusUpdate]]
Output: [[ClaimStatus]]
advance
Advance to next stage.
Input: [[StatusAdvance]]
Output: [[ClaimStatus]]
regress
Move to previous stage.
Input: [[StatusRegress]]
Output: [[ClaimStatus]]
hold
Put claim on hold.
Input: [[HoldRequest]]
Output: [[ClaimStatus]]
release
Release claim from hold.
Input: [[ReleaseRequest]]
Output: [[ClaimStatus]]
escalate
Escalate claim status.
Input: [[EscalationRequest]]
Output: [[ClaimStatus]]
notify
Send status notification.
Input: [[NotificationRequest]]
Output: [[Notification]]
addNote
Add status note.
Input: [[Note]]
Output: [[ClaimStatus]]
viewHistory
View status change history.
Input: [[ClaimStatus]]
Output: [[StatusHistory]]
Events
updated: Triggered when status is updated.advanced: Triggered when status advances.regressed: Triggered when status moves backward.held: Triggered when claim is put on hold.released: Triggered when claim is released from hold.escalated: Triggered when claim is escalated.SLA.breached: Triggered when SLA is violated.Notification.sent: Triggered when status notification is sent.