04 · Resolve the claim
Adjudication decisions
Adjudication answers two questions in order: is the claim covered, and is this person allowed to settle it for this amount?
Settled decisions
Section titled “Settled decisions”- Authority is data, seeded and versioned, not a hard-coded role name.
- A referral is a successful outcome when the amount is above the role.
- The claim file links to Context DMS evidence instead of pasting it.
Context.Insure Docs