ClaimCoverage

Represents the insurance policy coverage for a claim. This object stores the information about financial activities related to the claim, including payouts and reserves. This object is available in API version 51.0 and later.

Supported Calls

create(), delete(), describeLayout(), describeSObjects(), getDeleted(), getUpdated(), query(), retrieve(), search(), undelete(), update(), upsert()

Fields

Field Details
ClaimId
Type
reference
Properties
Create, Filter, Group, Sort, Update
Description
The claim associated with this claim coverage.
ClaimItemId
Type
reference
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The claim item associated with the claim coverage.
ClaimParticipantId
Type
reference
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The claim participant associated with this claim coverage.
Description
Type
textarea
Properties
Create, Nillable, Update
Description
The description of the coverage for the claim.
ExpenseReserveAmount
Type
currency
Properties
Create, Filter, Nillable, Sort, Update
Description
The amount of expense reserve held for this claim coverage.
InsurancePolicyAssetId
Type
reference
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The insurance policy asset associated with this claim coverage.
InsurancePolicyCoverageId
Type
reference
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The insurance policy coverage associated with the claim coverage.
InsurancePolicyParticipantId
Type
reference
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The insurance policy participant associated with the claim coverage.
InternalReserveMode
Type
picklist
Properties
Create, Filter, Group, Restricted picklist, Sort, Update
Description
Specifies the rule for determining the loss reserve amount and expense reserve amount for the coverage of the claim. If the rule is Coverage Reserve, the reserve amounts are stored in the Loss Reserve and Expense Reserve fields of the Claim Coverage object. If the rule is Reserve Worksheet, the reserve amounts are stored in the Claim Coverage Reserve object. The values are added to and displayed in the Loss Reserve and Expense Reserve fields of the Claim Coverage object.
Possible values are:
  • CoverageReserve—Coverage Reserve
  • ReserveWorksheet—Reserve Worksheet
LastReferencedDate
Type
dateTime
Properties
Filter, Nillable, Sort
Description
The timestamp for when the current user last viewed a record related to this record.
LastViewedDate
Type
dateTime
Properties
Filter, Nillable, Sort
Description
The timestamp for when the current user last viewed this record. If this value is null, it’s possible that this record was referenced (LastReferencedDate) and not viewed.
LossReserveAmount
Type
currency
Properties
Create, Filter, Nillable, Sort, Update
Description
The amount of loss reserve held for a claim coverage.
Name
Type
string
Properties
Create, Filter, Group, idLookup, Sort, Update
Description
The name of the claim coverage.
OwnerId
Type
reference
Properties
Create, Defaulted on create, Filter, Group, Sort, Update
Description
The ID of the record owner.
Status
Type
picklist
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Specifies the status of a claim coverage.
Possible values are:
  • Closed
  • Denied
  • Open

Associated Objects

This object has the following associated objects. If the API version isn’t specified, they’re available in the same API versions as this object. Otherwise, they’re available in the specified API version and later.

ClaimCoverageChangeEvent
Change events are available for the object in API version 63.0 and later.