Note: This release is in preview. Features described here don’t become generally available until the latest general availability date that Salesforce announces for this release. Before then, and where features are noted as beta, pilot, or developer preview, we can’t guarantee general availability within any particular time frame or at all. Make your purchase decisions only on the basis of generally available products and features.

Calculate Adjustments

Output representation of the details for calculating the adjustments for the claim loss item.

JSON example

1{
2  "isSuccess": true,
3  "adjustedAmount": 1250.00,
4  "adjustmentReason": "Deductible applied.",
5  "claimCovPaymentAdjustments": [
6    {
7      "adjustedAmount": 250.00,
8      "adjustmentReason": "Deductible"
9    }
10  ],
11  "insPolicyLimitTrackings": [
12    {
13      "policyLimitId": "0lYx00000004CvQEAU",
14      "category": "Per-Incident Limit",
15      "remainingAmount": 4750.00
16    }
17  ],
18  "errors": []
19}

Property Name	Type	Description	Filter Group and Version	Available Version
`adjustedAmount`	Double	Amount after adjustments are made based on the current standings of the policy limits.	Big, 65.0	65.0
`adjustmentReason`	String	Reason for the claim coverage payment detail adjustment such as deductible, copay, or coinsurance.	Big, 65.0	65.0
`claimCovPaymentAdjustments`	Claim Coverage Payment Adjustment Details[]	List of claim coverage payment adjustment details.	Big, 65.0	65.0
`errors`	Error Detail []	List of errors that are associated with the API request.	Big, 65.0	65.0
`insPolicyLimitTrackings`	Insurance Policy Limit Tracking Details[]	List of insurance policy limit tracking details.	Big, 65.0	65.0
`isSuccess`	Boolean	Indicates whether the API operation is successful (`true`) or not (`false`).	Big, 65.0	65.0

Insurance Developer Guide

Calculate Adjustments