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This pre-condition rule includes three possible additional action types.
Claim Abuse Threshold
Set a flag for account holders who are potentially first-party fraudsters. By default, this configuration is set to 3 claims filed in the 90 days. The flag is triggered by the number of claims created by a specific customer/member ID and disallows auto-pay and auto-provisional credit on flagged account holder claims.
Use the Potential Claim Abuse report to obtain an aggregated list of flagged account holders and their claims.
Provisional Credit Actions
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