claims

Create Claim

Create a new claim.

Strangler shim over cases.create@1 (capabilities/MIGRATION.md): the capability runs the workflow, write gates, usage limits and intake triage.

post/v1/claims

Request

  • Base URL: https://api.claims.zicron.ai
  • URL: https://api.claims.zicron.ai/v1/claims
  • Auth: none declared

Request body

claim_type'wc' | 'ssdi' | 'ssi' | 'va' | 'pi' | 'ltd' | 'std' | 'feca' | 'sdi' | 'medicare' | 'medicaid' | 'hospice' | 'lnc' required

Insurance/benefits claim types the platform supports.

document_type'medical_record' | 'ime_report' | 'msa_report' | 'first_report_of_injury' | 'wage_statement' | 'fce' | 'function_report' | 'c_and_p_exam' | 'dd_214' | 'police_report' | 'determination_letter' | 'policy_document' | 'attending_physician_statement' | 'demand_letter' | 'buddy_statement' | 'job_description' | 'billing_record' | 'work_history' | 'earnings_record' | 'service_treatment_record' | 'employer_statement' | 'settlement_document' | 'consultative_exam'

All document types that flow through the platform.

mechanism'ime' | 'msa' | 'fce'

Cross-cutting evaluation/settlement mechanisms that serve multiple claim types.

context_fieldsobject

Claim-type-specific context fields

Response

Successful Response

idstring required
claim_typestring required
claimant_namestring nullable
person_idstring nullable
person_namestring nullable
document_countinteger required
has_inferenceboolean required
overall_scorenumber nullable

Case strength score, 0.0-1.0 (not a percentage). Deterministic rating of how well the evidence supports each evaluation step. Use it to rank and triage; it is NOT a probability of approval and has not been calibrated against claim outcomes.

confidencestring nullable
gap_countsobject nullable
statusstring
lifecycle_stagestring
dispositionstring
assigned_tostring nullable
next_deadlinestring nullable
intake_tierstring nullable
lead_scorenumber nullable
completeness_p0_pctnumber nullable
missing_p0string[] nullable
intake_recommendationstring nullable
flaggedboolean
snoozed_untilstring nullable
recent_contactobject nullable
submission_readyboolean
submission_blockersstring[] nullable
created_atstring required
updated_atstring required

Changes

No recorded changes to this operation across all 1 revision of this API.