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--- claim_contract_resolution [2025/01/14 17:45] – tina.robles
+++ claim_contract_resolution [2025/08/20 15:04] (current) – tina.robles
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+-----
+__**Splitting Claims**__
+**Invoice Consolidation**
+When multiple records share the same invoice number, the system consolidates them under a single invoice identifier to maintain data integrity and streamline processing.
+**Claim Generation Framework**
+Claims are systematically generated based on the invoice structure and associated contract family relationships.
+__**Contract Family-Based Claim Splitting**__
+**Single Contract Family Scenario**
+**Condition**: All line items within an invoice resolve to the same contract family
+**Result**: One consolidated claim is created for the entire invoice
+**Multiple Contract Family Scenario**
+**Condition**: Line items within an invoice resolve to different contract families
+**Result**: The system creates separate claims for each distinct contract family represented
+__**Line Item Validation Process**__
+Each line item within a generated claim undergoes comprehensive validation based on the following criteria:
+**Contractee Identifier Verification**
+The system validates that the contractee identifier associated with each line item is accurate and properly mapped to the corresponding contract.
+**Eligibility Assessment**
+Each line item is evaluated for eligibility across two primary categories:
+  * SKU-Level Eligibility: Verification that the product/SKU is covered under the applicable contract terms
+  * Lumpsum-Level Eligibility: Confirmation that any lumpsum components are authorized and properly allocated within the contract framework
+**__Processing Workflow Summary__**
+  - Invoice Consolidation: Group records by invoice number under single invoice ID
+  - Contract Family Analysis: Determine contract family associations for all line items
+  - Claim Segmentation: Create claims based on contract family groupings
+  - Line Item Validation: Verify contractee identifiers and eligibility for each claim component

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