CLAIMS CORELEDGER

The operating record for policy, claims, and insurance change.

U.S. states adopting corresponding requirements · Model regulation

Privacy of Consumer Financial and Health Information Regulation (#672)

The model regulation addresses privacy notices and treatment of nonpublic personal financial and health information in insurance operations.

What the authority record establishes

The model regulation addresses privacy notices and treatment of nonpublic personal financial and health information in insurance operations.

Not itself binding until adopted

The exact official title, issuing body, jurisdiction, version or application record, and linked source define the scope of this page. Readers should not transfer the authority's status to a commercial product or infer transaction-, patient-, system-, site-, or organization-specific applicability from this summary.

Why it matters to this market

Core, claims, benefits, underwriting, and distribution systems need explicit notice, authorization, disclosure, service-provider, retention, and access controls.

Affected operating stages

  • Notice
  • Collection
  • Authorization
  • Sharing
  • Service Providers
  • Retention

Capabilities to examine

Underwriting Intake Triage And Workbench

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for underwriting intake triage and workbench.

Policy Administration And Policy Lifecycle Control

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for policy administration and policy lifecycle control.

Group Benefits Absence And Disability Claims

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for group benefits absence and disability claims.

First Notice Of Loss Or Event Intake

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for first notice of loss or event intake.

Documents Correspondence And Evidence Management

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for documents correspondence and evidence management.

Insurance Data Model Quality And Governance

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for insurance data model quality and governance.

Identity Security Privacy And Operational Controls

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for identity security privacy and operational controls.

Audit Trail Reason Code And Decision Reconstruction

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for audit trail reason code and decision reconstruction.

Affected buyer audiences

  • privacy
  • claims
  • life and benefits
  • distribution
  • data teams

Implementation questions

  • Which entities, products, populations, transactions, systems, sites, or jurisdictions are actually within scope?
  • What is binding, what is guidance, and what is a technical or consensus standard?
  • Which publication, adoption, effective, application, transition, and enforcement dates differ?
  • Who owns legal, clinical, quality, regulatory, policy, or operational interpretation?
  • How will a source revision affect open work and historical decisions?

Interpretation boundary

The maintained topic record does not establish the exact law, effective date, exemption, or requirement in any jurisdiction.