Yazh (Yaal), our Integration Gateway, sends changes from TPAs, vendors and source systems into your claims system in the format it expects, so adjusters work from the current claim.
The Problem
Claim Changes Reach Your Claims System Out of Step
Claims keep changing after first notice of loss. TPAs, vendors and source systems send updates, closures and reopenings, and your claims system applies its own rules to each one.
Updates Can Be Rejected as Out of Date
Claims systems often use checksums to prevent lost updates, so changes with outdated checksums are rejected. Each connector has to handle those errors.
Closures Run Into Validation Rules
A claim usually cannot close while exposures or activities remain open, so out-of-order closures return errors.
Reopenings Must Follow the Right Order
A claim must be reopened before its exposures, and a reopening may require a reason and note in a format the system accepts.
The Solution
How does InsOps Help?
Yazh (Yaal) Keeps Your Claims System in Step With Every Claim Change
Mapped Once, Remapped When Payloads Change
LiLa suggests a mapping when a sender first provides a payload, a person confirms it, and later changes are edited in the portal.
Value Translation for Closures and Reopenings
Yazh (Yaal) converts closure outcomes and reopening reasons into values your claims system accepts.
Alerts When a Required Field Is Added
Teams get an alert, and a default value is sent in the meantime so the flow keeps running.
Test Calls Before Go-Live
Senders and your team test the route before any live claim change is sent.
Secured Requests
Every request passes through a firewall, authentication, authorization and validation.
Requests, Responses and Errors on One Dashboard
Teams see each request's status and any errors in one place.
FAQ
Which claim changes does Yazh (Yaal) handle?
Who confirms the mapping?
What happens when my claims system adds a required field?