Close intake round
Close a claim-intake round and list customer/assessment documents and missing attachments.
Preserve claim-submission rounds to establish which documents supported each decision.
Claims accumulate submissions; reviewers need to establish which documents existed at each decision.
INS-SYN-001| Element | Illustrative scope |
|---|---|
| Decision makers / users | Policy operations, claims and fraud-control teams |
| Source system | Policy/claim system |
| Revision | Freeze the document set at each decision; later supplements cannot appear retroactively. |
| Record relationship | Each supplement links the set used for the claim decision. |
Close a claim-intake round and list customer/assessment documents and missing attachments.
Bind policy, claim, supplement round and revision; avoid mixing records for one insured person.
Add documents as linked revisions; retain the set used for the earlier decision.
Legal freezes dispute scope and authorizes holds; concurrent holds remain independent.
Export case-scoped material, minimize health data and record recipients/reconciliation.
| Recipient | Artifact |
|---|---|
| Source system | Intake receipts, source/revision-to-archiveId/jobId mappings and per-item errors. |
| Package recipient | Document-round history, related decisions and a case export package. |
| Record owner / operations | Completed/outstanding inventory, applied decisions and report references; no automatic legal conclusion. |
Assessors read case-scoped data; health data requires distinct authority.
Reduce evidence-assembly work for reinsurance or complaints without inventing savings percentages.
The owner must approve the retention authority and trigger for this record class: Each receipt, supplementation and claim decision.
Synthetic text files exercise inventory and hashing; they are not signed contracts, real records or ERS/XMLERS.
Download synthetic dossier| Test | Expected outcome |
|---|---|
| Intact | File inventory, size and SHA-256 match the manifest. |
| Missing / changed bytes | The verifier rejects the package without claiming inventory success. |
| Sector business case | Supplements cannot erase the set supporting an earlier decision. |
Create two submission rounds, verify version links and show that a hold blocks disposition.
Prepare a sector-specific request| Control point | Requirement |
|---|---|
| Source event | Each receipt, supplementation and claim decision. |
| Revision / decision | Freeze the document set at each decision; later supplements cannot appear retroactively. |
| Test and expected result | Report identifies the actual documents used at decisions r1 and r2. |
Sample inventory/hashing checks bytes only. Authorization, decision and state cases must run in the provisioned test environment before business acceptance.
| Information | Value / decision |
|---|---|
| Record | INS-SYN-001 |
| Source system | Policy/claim system |
| Revision relationship | Each supplement links the set used for the claim decision. |
| Recipient and output | Document-round history, related decisions and a case export package. |
| Rights and authority | Assessors read case-scoped data; health data requires distinct authority. |
| Required rejection test | Supplements cannot erase the set supporting an earlier decision. |
Sector information is source business metadata, not automatically new REST fields. Agree field mapping and ownership before a PoC.