Straight-through processing

Straight-through processing completes eligible work with no human touch, and sends everything else to a person with the reasons.

Rules

Automation > Straight-through rules has one kind of rule per kind of work. A rule can apply to one product, one line or all.

Kind	Checks you can set
Quotes	Sum insured at most, premium at most, customer identity verified, then issue the policy
Renewals	Claims in the year at most, premium change at most, nothing overdue
Claims	Claimed amount at most, fraud score at most, claim, invoice and policy agree, provider in the network, policy in force for at least so many days, then pay

When it runs

New claims and quotes try the active rule as soon as they are created. A claim that needs the three-way match tries again when its invoice is filed through document intake. Workflows can also run it as a step, and Try straight-through is on each claim, quote and policy.

The three-way match

For claims, the claim form, the invoice and the policy record must agree: the same claim or policy number, an invoice amount within the claimed amount, an invoice date within cover, and an active policy covering the loss date.

The result

Each attempt is kept with every check and its outcome. When any check fails, the record goes to the exception queue with the failed checks; it leaves the queue by itself once it completes.