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Claim Table

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Name

Claim

Type

Table

Description

Each time a change is saved to a claim-level property in QFD, an event is created.  This event includes all important claim details and will be useful for referencing from most other events to understand the full picture of the claim.

Fields

Data Category

Event Field/Column Name

Data Type

Description

Applicability

Sample Value

Notes

Key

TenantId

VARCHAR(32)

Unique ID associated with each Quavo client.

ALWAYS

qvo-stg

Key

ClientId

VARCHAR(64)

A unique ID representing a single client.

ALWAYS

Default

Key

ClaimId

VARCHAR(32)

Unique ID associated with a claim.  Format: YYMMDD<Ordinal Number>"C"

Example: 2405230003C

ALWAYS

2306060014C

Key

ClaimType

VARCHAR(64)

See Transaction Type.

CONDITIONAL

Card-Pinless

Only applicable for submitted claims (not abandoned, cancelled, or withdrawn prior to submission).

Account Details

CustomerId

VARCHAR(64)

Value that uniquely identifies the customer associated with a claim.  May be obfuscated when NPI is used.

CONDITIONAL

123456

Only applicable for submitted claims (not abandoned, cancelled, or withdrawn prior to submission).

Account Details

AccountClassification

VARCHAR(32)

Distinguishes between Business and Consumer accounts.

CONDITIONAL

“Business”, “Consumer”

Added in 25.01.

Account Details

IsEmployeeClaim

BOOLEAN

CONDITIONAL

TRUE

Only applicable for submitted claims where a positive employee account identifier is provided by the System of Record.

Account Details

AccountNumber

VARCHAR(64)

Value that uniquely identifies the account associated with a claim.  May be obfuscated when NPI is used.

CONDITIONAL

0000123456

Only applicable for submitted claims (not abandoned, cancelled, or withdrawn prior to submission).

Account Details

IsEnrolledInAutopay

BOOLEAN

CONDITIONAL

TRUE

Only applicable for submitted claims where a positive autopay enrollment identifier is provided by the System of Record.

Account Details

NextPaymentDate

DATE

CONDITIONAL

2023-09-09

Only applicable for submitted claims where a next payment date value is provided by the System of Record.

Account Details

StatementCycleDate

DATE

CONDITIONAL

2023-09-09

Only applicable for submitted credit card claims.

Account Details

AccountOpenDate

DATE

The date the account was opened as reported by the system of record.

CONDITIONAL

2023-09-09

Only applicable for submitted claims where a value is provided by the System of Record.

Account Details

AccountType

VARCHAR(32)

The date the account was opened as reported by the system of record.

CONDITIONAL

Deposit, Credit Card, Other

Only applicable for submitted credit card claims.

Card Details

CardType

VARCHAR(16)

CONDITIONAL

Debit, Credit

Only applicable for submitted card claims where provided by the System of Record.

Card Details

CardBIN

VARCHAR(8)

Bank Identification Number (BIN) is the first 4-8 digits of a payment card that identifies the issuing institution.

CONDITIONAL

412356, 41235678

Only applicable for submitted card claims where provided by the System of Record.

Card Details

CardNumberLast4

VARCHAR(4)

Last 4 digits of the Card Number.

CONDITIONAL

5555

Only applicable for submitted card claims where provided by the System of Record.

Claim Details

ReasonType

VARCHAR(64)

General categorization of the claim.

For a more precise description, see Claim Reason.

CONDITIONAL

ATM, Account Merchandise Service, Authorization, Dispute, Fraud, Identity Theft, Incorrect, Missing, Revoked

Only applicable for submitted claims.

Claim Details

Reason

VARCHAR(64)

Identifies the specific reason associated with the claim.

CONDITIONAL

ACH Merchandise or Service, ATM Deposit, ATM Withdrawal, ATM Deposit Not Posted, ATO, Addendum Dispute, AuthChargeback, Authorization, Balance Transfer, Cancelled Recurring, Cancelled/Returned Merchandise/Service, Card Lost, Card Not Received, Card Secure, Card Stolen, Cashback, Charged More Than Once, Charged Credited Incorrect, Check Merchandise or Service, Convenience Check, Counterfeit Merchandise, Credit Not Processed, Credit Posted as Debit, Damaged/Defective, Debit Posted as Credit, Debited Prior To Auth Date, Debited By Third Party, Draft Encoding Error, Duplicate Entry, Duplicate Processing, Fraud App, Improper, Improperly Processed Electronically, Improperly Reinitiated, Incorrect Amount, Incorrect Credit Amount, Late Presentment, Merchandise Service Issue, Merchant Charged Loss/Theft, Merchant Incorrect Account Number, Merchant Incorrect Currency, Merchant Invalid Data, Merchant No Show Charged, Merchant Violated Laws Or Regs, Misrepresentation, Missing Transaction, Not as Described, Not Received, Paid by Other Means, Quality, Revoked, Stale Dated, Transaction Merchandise or Service, Unauthorized, Wrong Amount, Zelle Merchandise or Service

Only applicable for submitted claims.

Claim Details

ChannelOrigin

VARCHAR(32)

ALWAYS

Back Office User, Contact Center, External Contact Center, Online Banking

Claim Details

ClaimAmount

NUMBER(20,2)

The sum dispute amount of all posted disputes on a claim.

CONDITIONAL

123.45

Only applicable for submitted claims.

Claim Details

TotalClaimAmount

NUMBER(20,2)

The sum dispute amount of all pending and posted transactions included in a claim.

CONDITIONAL

123.45

Only applicable for submitted claims.

Claim Details

CustomerContactDate

DATE

Represents the date that the claim was received from the accountholder.

CONDITIONAL

2023-09-09

Only applicable for submitted claims.

Claim Details

CustomerDiscoveryDate

DATE

The date provided during intake on a lost or stolen claim that represents the date the claimant discovered that the card had been lost or stolen.

CONDITIONAL

2023-09-09

Only applicable for submitted lost or stolen card claims.

Claim Details

IsPotentialAbuse

BOOLEAN

A specified number of claims submitted by a single customer/member within an established timeframe.  The output of this property is a boolean (TRUE/FALSE).

CONDITIONAL

TRUE

Only applicable for submitted claims that mean one or more potential abuse criteria.

Claim Details

Status

VARCHAR(64)

Represents the current stage or step of a particular process or lifecycle, such as a claim or dispute.

ALWAYS

RESOLVED-PAID

Claim Details

ProvisionalCreditDateTime

TIMESTAMP_NTZ(9)

Datetime when provisional credit was granted on a claim.

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims where provisional credit has been granted.

Claim Details

PCDecision

VARCHAR(16)

CONDITIONAL

Grant

Only applicable for submitted claims.

Claim Details

Decision

VARCHAR(64)

"Paid" or "Denied".  If one, or more, disputes on a claim are paid, the claim decision is "Paid".

CONDITIONAL

Paid, Denied

Only applicable for resolved claims.

Claim Details

HasIdentifiedSuspect

BOOLEAN

Indicator of whether there were one, or more, suspects identified during claim intake.

CONDITIONAL

TRUE

Only applicable for submitted claims.

Claim Details

PCDecisionFromIIDPreSubmission

VARCHAR(16)

Provisional credit decision set by the system during intake.

CONDITIONAL

AutoPay, Review

Only applicable for submitted claims.

Claim Details

PCDecisionReason

VARCHAR(255)

Description of reason for the PC decision set by the system.

CONDITIONAL

Only applicable for submitted claims.

Claim Details

ResolvedDateTime

TIMESTAMP_NTZ(9)

Datetime that a claim or dispute is set to a "Resolved" status..  Also referred to as RESOLVEDDATETIME.

CONDITIONAL

2023-09-09 21:00:00

Only applicable for resolved claims.

Claim Details

InvestigationCompleteDateTime

TIMESTAMP_NTZ(9)

Date and/or datetime that a Pay or Deny decision is rendered for all disputes on a claim.

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims where a pay or deny decision has been rendered.

Claim Details

ReclassificationCount

NUMBER(3,0)

Number of times the claims has been reclassified.

CONDITIONAL

1

Only applicable for reclassified claims.

Claim Details

RequiredDocumentCount

NUMBER(3,0)

  1. of documents required from the customer/member for claim processing.

CONDITIONAL

1

Only applicable for claims with required documents.

Claim Details

TimeZone

VARCHAR(48)

ALWAYS

America/Los_Angeles

Only applicable for submitted claims.

Claim Details

WasPCManuallyWithheld

BOOLEAN

Number of times the claims has been reclassified.

ALWAYS

TRUE, FALSE

Compliance Details

RegE10DateTime

TIMESTAMP_NTZ(9)

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims that are covered by Regulation E.

Compliance Details

PCDocRequirementSatisifedDateTime

TIMESTAMP_NTZ(9)

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims that are covered by Regulation E and have established document requirements that are satisfied.

Compliance Details

RegE10ThresholdDateTime

TIMESTAMP_NTZ(9)

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims that are covered by Regulation E.

Compliance Details

RegE45DateTime

TIMESTAMP_NTZ(9)

Datetime assigned by the system by which a claim must be resolved in order to be compliant with Regulation E.

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims that include US ATM transactions and are covered by Regulation E.

Compliance Details

RegE90DateTime

TIMESTAMP_NTZ(9)

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims that are covered by Regulation E and do not included US ATM transactions.

Compliance Details

RegEThresholdDateTime

TIMESTAMP_NTZ(9)

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims that are covered by Regulation E.

Compliance Details

RegZ30DateTime

TIMESTAMP_NTZ(9)

Datetime assigned by the system by which claim acknowledgement must be completed in order to be compliant with Regulation Z.

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims that are covered by Regulation Z.

Compliance Details

RegZ30ThresholdDateTime

TIMESTAMP_NTZ(9)

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims that are covered by Regulation Z.

Compliance Details

RegZ90DateTime

TIMESTAMP_NTZ(9)

Datetime assigned by the system by which a claim must be resolved in order to be compliant with Regulation Z.

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims that are covered by Regulation Z.

Compliance Details

RegZ90ThresholdDateTime

TIMESTAMP_NTZ(9)

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims that are covered by Regulation Z.

Compliance Details

RegZPCThresholdDateTime

TIMESTAMP_NTZ(9)

Datetime calculated by the system that represents the deadline for granting provisional credit or placing a dispute in dispute status in order to comply with in order to comply with § 1026.13(d)(1).

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims that are covered by Regulation Z and meet the criteria for withholding protection.

Compliance Details

RegZPCDateTime

TIMESTAMP_NTZ(9)

Datetime calculated by the system, including any client-configured buffers, that represents the deadline for granting provisional credit or placing a dispute in dispute status in order to comply with in order to comply with § 1026.13(d)(1).

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims that are covered by Regulation Z and meet the criteria for withholding protection.

Compliance Details

IsFCRA

BOOLEAN

Indicates whether the FCRA Override was applied to the claim.

CONDITIONAL

TRUE

Deflection Details

ISANYTRANSACTIONDEFLECTEDFROMMERCHANTCREDIT

BOOLEAN

TRUE when 1 or more disputes are resolved-no action, due to merchant credit.

CONDITIONAL

TRUE

Only available with Deflection booster.

Deflection Details

ISANYTRANSACTIONDEFLECTEDFROMPURCHASEINQUIRY

BOOLEAN

TRUE when 1 or more disputes are resolved-no action, due to purchase inquiry details.

CONDITIONAL

TRUE

Only available with Deflection booster.

Deflection Details

ISANYTRANSACTIONDEFLECTEDFROMUNDISPUTEDHISTORY

BOOLEAN

TRUE when 1 or more disputes are resolved-no action, due to undisputed history.

CONDITIONAL

TRUE

Only available with Deflection booster.

Metadata

AssociatedTagsCSV

VARCHAR(256)

Comma-separated list of user-applied tags.

CONDITIONAL

FEB2024BINATTACK

Added in 25.01.

Metadata

CreatedbyUserId

VARCHAR(64)

The username of the user that created the claim.

CONDITIONAL

devan.robertson@quavo.com

Only applicable for submitted claims.

Metadata

SaveDateTime

TIMESTAMP_NTZ(9)

ALWAYS

2023-09-09 21:00:00

Metadata

CreateDateTime

TIMESTAMP_NTZ(9)

The datetime that a record was created.

ALWAYS

2023-09-09 21:00:00

Metadata

SubmittedDateTime

TIMESTAMP_NTZ(9)

The datetime that a record was created.

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims.

Metadata

StatusChangedDateTime

TIMESTAMP_NTZ(9)

The datetime that a record was created.

CONDITIONAL

2023-09-09 21:00:00

Only applicable for submitted claims.

Metadata

EventDateTime

TIMESTAMP_NTZ(9)

The datetime that the event was recorded.

ALWAYS

2023-09-09 21:00:00

Metadata

EventIdentifier

VARCHAR(64)

A unique ID associated with each business event.

ALWAYS

70b1c86d-d06f-4c93-bab2-0e938a4ef768

Metadata

EventItemId

VARCHAR(64)

An ID included with each business event that identifies the tenant and Claim ID or Dispute ID associated with the event.

ALWAYS

qvo-stg|2306060014C

CONDITIONAL

VARCHAR(32)

VARCHAR(32)

Account Details

Account Details

Account Details

Account Details

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