Calculate Adjustments (POST)

This API uses the default Expression Set Executable Template to perform the calculation and applies the standard policy rules, such as deductibles, co-pays, co-insurance, and limits to an initial claimed amount. You can either extend the executable template to create a custom Expression Set or create an Integration Procedure to include custom calculations.

The API uses the claimedAmount, claimId, and claimCoverageId as input, and returns the final adjustedAmount along with the generated data for Claim Coverage Payment Adjustments (CCPAs) and Insurance Policy Limit Tracking (IPLT) records. This API only returns the data; it doesn't save them in database.

Resource

1/connect/insurance/claims/claimId/coverages/coverageId/calculate-adjustments

Resource example

1https://yourInstance.salesforce.com/services/data/v65.0/connect/insurance/claims/0Zkxx000000001dEAA/coverages/0kPxx000000002fEAA/calculate-adjustments

Available version

65.0

HTTP methods

POST

Path parameter for POST

Parameter Name	Type	Description	Required or Optional	Available Version
claimId	String	ID of the claim for which the payment adjustments must be calculated.	Required	65.0
coverageId	String	ID of the claim coverage record.	Required	65.0

Request body for POST

JSON example

1{
2  "claimedAmount": 1500.00
3}

Properties

Name	Type	Description	Required or Optional	Available Version
claimedAmount	Double	Amount requested by the claimant when submitting the loss.	Required	65.0

Response body for POST

Calculate Adjustments