Glossary

Extracted business rules:

**BR-010:** Claims over $50,000 require pre-authorization - **BR-011:** Pre-authorization must not be expired (days remaining > 0) - **BR-012:** Claims $50,000 or less do not require pre-authorization - **BR-013:** Denied reasons: AUTH-EXP (expired authorization), NO-AUTH (no authorization on file)

Learn More

Related Terms