SCR-7966 / SCR-7949

Combined Insured Event Status Logic

Service for checking the actual status / substatus of an Insured Event and defining the resulting Combined Insured Event Status. ADUM documents are visible as soon as the document is created; the KPOR Postfach tab is determined by the Claim incoming channel.

Interactive test

Status combination tester

Select Claim incoming channel, Insured Event location, status, detailed status and claim statuses to calculate the resulting combined status and the KPOR Postfach tab. Detailed status 3 - Requirement always has priority.

No claims entered - only the Insured Event status is used.

combined insured event status
-
Portal visibility: -
Claim incoming channel
6 - IPS
KPOR tab
Von Makler Betreut
Visibility trigger
DOCUMENT CREATED

Logical summary / solution description

ADUM document visibility logic

Parameter Value / Rule
Claim incoming channel 6 - IPS
KPOR display tab Von Makler Betreut
Visibility trigger Document created
Visible for customer

Combined Insured Event Status based on claims

SAVED
IN PROCESS
REQUIREMENT
SETTLED
REJECTED

Claim object mapping

Combined group Claim status
PROCESS1 In Process, 5 Postponed
SETTLED3 Settled, 7 Reverted, 4 Migrated Claim
REJECTED2 Rejected, 6 Mistakenly entered

Insured Event object mapping

Combined group Insured Event status
PROCESS1 In Process, 5 Re-opened, 6 Postponed
SETTLED2 Finished, 4 Preliminary finished, 7 Time-barred
REJECTED3 Disposed of

Claim incoming channel mapping to KPOR Postfach tab

Claim incoming channel code Claim incoming channel KPOR Postfach tab
1PostPosteingang
2E-MailPosteingang
3WebsitePosteingang
4Merkur AppPosteingang
5Customer PortalPosteingang
6IPSVon Makler Betreut