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  3. Premium and claim payment records
Process · Premium and claim payment records

Premium and claim payment records

Premium receipts attach to policies, while claim payments attach to both claims and their authorizing decisions. Keep these routes separate when comparing cash activity. A premium receipt has its own received date and verification value. A claim payment has a paid date, provider event identifier and verification value. Approval of the claim benefit is the human gate before payment work.

Step by step

  1. Record premium Payment Operator

    Payment Operator checks receipt amount, date, policy and provider event.

    • Payment Operator checks receipt amount, date, policy and provider event.
    • Updates Premium receipts, Policies
  2. Authorize benefit Claims Reviewer

    Claims Reviewer records the approved benefit and reason.

    • Claims Reviewer records the approved benefit and reason.
    • Updates Claim decisions, Claims
    ApprovalA person approves before the work moves on.
  3. Record payment Claims Reviewer

    Approval raises the payment; its creation settles the linked claim and records an operation.

    • The approval workflow raises a payment whose creation settles the claim and records an operation.
    • Updates Claim payments, Claims, Operation receipts
  4. Review outcome Payment Operator

    Payment Operator checks verification and operation result.

    • Payment Operator checks verification and operation result.
    • Updates Claim payments, Operation receipts
Payment Operator
, Claims Reviewer.
Each person follows the record within their organization and keeps the next actor clear.
A decision remains tied to the person who made it and to the source evidence available at the time.

Set up Crop Insurance Platform your way.

Start free, then use Proto to change fields, steps and approvals before your team goes live.

How to get started