Claim Coverage Payment Detail (POST)

Create a claim coverage payment detail record. This also generates the related records for the Insurance Policy Limit Tracking and Claim Coverage Payment Adjustment records if applicable.

Resource 

{claimId} and {coverageId} are placeholders.

1/connect/insurance/claims/{claimId}/coverages/{coverageId}/payment-details

Resource Example 

Replace {yourInstance} with the My Domain name of your Salesforce org.

1https://{yourInstance}.salesforce.com/services/data/v68.0/connect/insurance/claims/0Zkxx000000001dEAA/coverages/0kPxx000000002fEAA/payment-details

Available Version 

65.0

HTTP Methods 

POST

Path Parameter for POST 

Parameter NameTypeDescriptionRequired or OptionalAvailable Version
claimIdStringID of the claim for which the claim coverage payment detail record must be created.Required65.0
coverageIdStringID of the coverage that applies to the claim.Required65.0

Request Body for POST 

JSON Example 

1{
2  "claimedAmount": 1200.0,
3  "recipientId": "001xx000003GN2rAAG",
4  "coveragePaymentType": "Loss",
5  "benefitName": "DentalCov",
6  "description": "Dental cleaning and checkup.",
7  "limitUnitCount": 1,
8  "adjustedAmount": 1200.0,
9  "additionalFields": {
10    "State__c": "CA",
11    "LOB__c": "Commercial"
12  }
13}

Properties 

NameTypeDescriptionRequired or OptionalAvailable Version
additionalFieldsObjectAdditional standard or custom fields that are used to create the claim coverage payment detail record.Optional65.0
adjustedAmountDoubleAmount deducted from the Posted Amount based on the respective attribute category.Required when coveragePaymentType is Loss65.0
benefitNameStringName of the benefit that’s associated with the product attribute’s mapped scope as a sub-coverage.Required when coveragePaymentType is Loss65.0
claimedAmountDoubleAmount requested by the claimant when submitting the loss.Required65.0
coveragePayment​TypeStringSpecifies the category of the payment. The value must be either Loss or Expense.
Loss refers to the payment related to the policyholder’s covered damages.
Expense refers to costs associated with claim processing, such as vendor fees.
Required65.0
descriptionStringDescription of the claim coverage payment detail record.Optional65.0
limitUnitCountIntegerNumber of units for this claim coverage payment detail, such as the number of days for a rental car expense.
The default value is 1.
Optional65.0
recipientIdStringID of the person or entity who will receive the payment, such as the policyholder, a third-party claimant, or a service vendor.Optional65.0

Response Body for POST 

Claim Coverage Payment Detail