Claim Coverage Payment Detail Edit (PATCH)

Update an existing Claim Coverage Payment Detail (CCPD) record for both loss and expense types.

For loss-type payments, the system automatically re-evaluates the claim by reversing previously applied limits and recalculating adjustments, such as deductible and copay before saving the updated payment. For expense-type payments, you can update fields, such as claim amount and recipient. These updates don’t recalculate adjustments or policy limits.

Before using this API, you must call the Recalculate Adjustments (PATCH) API to get the adjusted amount, and then use that value in the request body of the edit CCPD API.

Resource 

{claimId}, {coverageId}, and {paymentDetailId} are placeholders.

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

Resource Example 

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

1https://{yourInstance}.salesforce.com/services/data/v68.0/connect/insurance/claims/0Zkxx0000000001CAA/coverages/0kPxx0000000001CAA/payment-details/0l2xx0000000001CAA

Available Version 

66.0

HTTP Methods 

PATCH

Path Parameters for PATCH 

Parameter NameTypeDescriptionRequired or OptionalAvailable Version
claimIdStringID of the claim.Required66.0
coverageIdStringID of the coverage that applies to the claim.Required66.0
paymentDetailIdStringID of the claim coverage payment detail record.Required66.0

Request Body for PATCH 

JSON Example 

1{
2  "claimedAmount": 5000.00,
3  "adjustedAmount": 5000.0,
4  "recipientId": "001xx000003DGQyAAO",
5  "name": "Rental Car Expense",
6  "description": "Payment for 5 days of rental car usage",
7  "limitUnitCount": 5,
8  "status": "Draft",
9  "additionalFields": {
10    "State": "CA",
11    "policyType": "Auto",
12    "LOB__c": "Personal"
13  }
14}

Properties 

NameTypeDescriptionRequired or OptionalAvailable Version
additionalFieldsObjectAdditional standard or custom fields that are used to update the claim coverage payment detail.Optional66.0
adjustedAmountDoubleAdjusted amount of the claim.Required if claimedAmount is specified for a loss item.66.0
claimedAmountDoubleAmount requested by the claimant when submitting the loss.Optional66.0
descriptionStringDescription of the claim line item.Optional66.0
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.Optional66.0
nameStringName of the claim coverage payment detail record.Optional66.0
recipientIdStringID of the person or entity who will receive the payment, such as the policyholder, a third-party claimant, or a service vendor.
For a Loss item, the recipient is the policyholder or a third party. For an Expense item, the recipient ID represents a vendor or internal staff member.
Optional66.0
statusStringCurrent status of the claim coverage payment detail, such as Draft.Optional66.0

Response Body for PATCH 

Edit Claim Coverage Payment Detail Response