Enumerations
The fixed vocabularies the contract, the generator and the UI share, all from packages/shared/src/.
This page is generated by docusaurus/scripts/generate-reference.ts from the source it describes. Edit the source, then run npm run docs:reference.
Lines of business
| Value | Label | Coverage codes |
|---|---|---|
auto | Auto | COLL Collision, COMP Comprehensive, PD Third Party Property Damage, BI Third Party Bodily Injury, RENT Rental / Hire, UM Uninsured Motorist |
property | Property | BLDG Buildings, CONT Contents, BI Business Interruption, ALT Alternative Accommodation, LIAB Property Owners Liability |
workers_compensation | Workers Compensation | MED Medical, TTD Temporary Total Disability, TPD Temporary Partial Disability, PPD Permanent Partial Disability, VOC Vocational Rehabilitation |
general_liability | General Liability | BI Bodily Injury, PD Property Damage, PI Personal Injury, MED Medical Payments |
Claim statuses
| Value | Label |
|---|---|
filed | Filed |
under_review | Under Review |
approved | Approved |
paid | Paid |
denied | Denied |
closed | Closed |
reopened | Reopened |
reclosed | Re-closed |
Risk flag codes
LATE_REPORTINGPRIOR_CLAIMS_HISTORYINCONSISTENT_STATEMENTSDUPLICATE_INVOICEPROVIDER_WATCHLISTPOLICY_INCEPTION_PROXIMITYSOCIAL_MEDIA_CONTRADICTIONUNUSUAL_TREATMENT_PATTERNREPAIR_COST_ABOVE_MARKETNO_POLICE_REPORT
Involvement roles
claimant · defendant · policyholder · insurer · solicitor · repairer · physician · hospital · pharmacy · expert · witness · court · employer · broker · contractor · loss_adjuster · other
Screen panels
The data-panel anchors highlight_panel can point at (MATTER_PANELS in packages/shared/src/chat.ts). Both claim layouts carry all of them; an embedding host marks its own.
home · schedule · documents · finance · involvements · proceedings · strategy · finance_resolution · mi · system_checks · key_facts · schedule_table · proceedings_table · notes
Feedback reasons
| Id | Label |
|---|---|
incorrect | Wrong or made up |
missed | Missed something on the claim |
off_target | Didn’t answer my question |
unclear | Too long or unclear |
unsafe | Inappropriate or unsafe |
other | Other |
Locales and brands
| Field | Values |
|---|---|
locale | en-GB · en-US |
brand | claimpilot · clonepilot |
Data domains (DGPH-34)
The level-2 domains of the Davies claims-processing ontology that the Claim document is organised by.
| Id | Domain | Contains |
|---|---|---|
client | Client Data (Insurance Providers) | Client Information, Client-Specific Rules |
policy | Policy Data | Insurance Types, Policy Types, Policyholder Information, Policy Terms & Conditions, Premium Information, Policy State, Policy Class, Policy Additional Insured, Policy Schedule items, Policy Item coverage |
claim | Claim Data | Claim Types, Claimant Information, Incident Data, Loss Data, Diagnosis Data, Claim Adjuster Information, Claim Status, Claim Recovery, Claim Diary |
payment | Payment Data | Payout Amount, Payment Schedule, Reimbursement Data, Payment Reversal, Recipient of Benefit |
third_party | Third-Party Involvement Data | Service Provider Information, Legal Entity Data |
fraud | Fraud Detection Data | Risk Flags, Investigative Findings |
compliance | Regulatory & Compliance Data | Compliance Records, Audit Data |
feedback | Customer Feedback Data | Satisfaction Metrics, Complaint Records |
party | Claimant (Party) Data | Claimant Witness, Claimant Wage, Co-Defendant, Claimant RTW, Claimant Injury Details |
litigation | Litigation | Litigation legal status, Litigation Appearance, Claim litigation main |