Insurance Claims Processor

Try in Playground

caution

The default claims processor is in-memory and intended for development/testing. Integrate your own persistence, payment, and fraud systems for production.

Reference workflow for claims intake through settlement.

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Claim Lifecycle (Reference)

flowchart LR
    A[FNOL] --> B[Validation]
    B --> C[Investigation]
    C --> D[Adjudication]
    D --> E{Decision}
    E -->|Approved| F[Settlement]
    E -->|Denied| G[Close]
    E -->|Review| C
    F --> H[Payment]
    H --> I[Close]

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Features (Scaffold)

Feature	Description
FNOL Submission	Reference intake workflow
Document Processing	Integration point
Reserve Management	Integration point
Auto-Adjudication	Rule hooks (reference)
Fraud Detection	Integration point
Settlement/Payment	Integration point
Audit Trail	Hook for your audit system

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Install

dotnet add package PrimusSaaS.Insurance.Claims

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Quick Setup (In-Memory)

builder.Services.AddPrimusClaimsProcessor(options =>
{
    options.Provider = ClaimsProvider.InMemory; // dev/test only
    options.AutoApprovalThreshold = 5000m;
    options.EnableFraudDetection = true;
    options.EnableAuditLogging = true;
});

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Next Steps

Want to...	See Guide
5-minute setup	Quick Start
Full workflow	Advanced
Interactive demo	Playground