Set Up the AI Coverage Analyzer Module

Prepare for setup

After installing the AI Coverage Analyzer add-on module, you need to set it up before using it with the Connected Claims Base application.

This guide walks you through the incorporation steps required to utilize the full functionality of the AI Coverage Analyzer. Implementers are free to customize the security, display names, and other aspects of the application to best suit their needs.

System Prerequisites

• Appian platform running version 26.6 or greater.
• A supported web browser.
• Imported Connected Claims Base application version 2.0 or higher, which includes the following application containers:
  • Connected Claims Management Base (CCM)
  • CCM Studio Generated Objects
• Imported AI Coverage Analyzer module application containers, including:
  • CCM Add On: Coverage Analyzer AI

To incorporate the add-on to the Appian Connected Claims Management Base Application, perform the following steps.

Update Claim Coverage Verification on claim creation

To update Claim Coverage Verification on claim creation in the AI Coverage Analyzer module, add the Update Claim Coverage subprocess to the CCM_SUB_SubmitClaim_ParallelProcesses process model in the Connected Claims Management Base application:

1. In the target environment, log in as the deployment user.
2. Navigate to Appian Designer.
3. Navigate to Connected Claims Management Base application.
4. Search for and open the CCM_SUB_SubmitClaim_ParallelProcesses process model.

   1. After the Send Email node, add a new a sub process called Update Claim Coverage.

      

      1. Under the Setup tab, configure the subprocess as shown:

         

         1. For the claimId input variable, pass in pv!claim as shown:

            

         2. Click SAVE AND CLOSE.

Update the Claim Coverage Verification on loss details

To update the Claim Coverage Verification on loss details in the AI Coverage Analyzer module, add the Update Claim Coverage subprocess to the CCM_Claim_UpdateLossDetails process model:

1. Search for and open the CCM_Claim_UpdateLossDetails process model.
2. After the Automation Evaluation node, add a new sub process called Update Claim Coverage.

   1. Under the Setup tab, configure the subprocess as shown:

      

      1. For the claimId input variable, pass in pv!claim as shown:

         

      2. Click SAVE AND CLOSE.

Configure Summary page

To configure the Summary page for the AI Coverage Analyzer module, add the coverage verification code to the CCM_Claim_ClaimSummary expression rule:

1. Search for and open the CCM_Claim_ClaimSummary expression rule.

   1. Add the following code above the Details cardLayout as shown:

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      rule!CCM_CCVAI_displayCliamCoverageVerification(
              claimId: ri!claim['recordType!{d81cdd0e-c54d-4b8e-beec-b7ae37fefe7f-ccm}CCM_Claim.fields.{f4bdff4d-4087-4519-bf34-34a1139e5c3d-ccm}claimId']
            ),
      

      

   2. Click SAVE.

Use the module after setup

After you set up the AI Coverage Analyzer module, you can automatically analyze claim coverage details and receive AI-powered coverage verification insights for all new claims and loss detail updates in Connected Claims.

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