SAIF.Services business rules¶

This page catalogues the 426 business rules identified in SAIF.Services, all prefixed SVC-BR-*. Enforcement locations are relative to Services/SAIF.Services/ unless otherwise noted. Rules are grouped by functional area for readability; each rule is independently linkable by its heading anchor. Some rules are delegated to SAIF.Domain and catalogued there as DOM-BR-* (referenced by area introductions below, not duplicated here).

Rule areas¶

Area	Rule ID prefix	Rule count
Bills	`SVC-BR-BIL-*`	127
Claims	`SVC-BR-CLM-*`	78
Legal	`SVC-BR-LGL-*`	80
Policies and certificates	`SVC-BR-POL-*`	69
Collections	`SVC-BR-COL-*`	49
Documents	`SVC-BR-DOC-*`	8
Miscellaneous	`SVC-BR-MSC-*`	15

Bills¶

SVC-BR-BIL-001 Can be non-chargeable only if status is Reviewed, billing provider is IME, and audit IsChargeableCost¶

Field	Value
Statement	Can be non-chargeable only if status is Reviewed, billing provider is IME, and audit IsChargeableCost
Trigger	check
Enforcement	BillService.cs L81-83
Outcome	false otherwise
Operation(s)	CanBillBeNonChargeable
Source	`Services/SAIF.Services/Claims/Bills/BillService.cs` — BillService.cs L81-83

SVC-BR-BIL-002 True if the first WCD 'Closed' (denial) date ≤ StatementFromDate¶

Field	Value
Statement	True if the first WCD "Closed" (denial) date ≤ StatementFromDate
Trigger	check
Enforcement	L86-93
Outcome	true
Operation(s)	CanBillBeNonChargeable
Source	`Services/SAIF.Services/Claims/Bills/BillService.cs` — L86-93*

SVC-BR-BIL-003 True if any 'Denied' condition DecisionDate ≤ StatementFromDate¶

Field	Value
Statement	True if any "Denied*" condition DecisionDate ≤ StatementFromDate
Trigger	check
Enforcement	L97-102
Outcome	true
Operation(s)	CanBillBeNonChargeable
Source	`Services/SAIF.Services/Claims/Bills/BillService.cs` — L97-102*

SVC-BR-BIL-004 Amount = sum of AllowedAmount over audited services for claim/status list/payment category; null → 0¶

Field	Value
Statement	Amount = sum of AllowedAmount over audited services for claim/status list/payment category; null → 0
Trigger	call
Enforcement	L108-123
Outcome	decimal
Operation(s)	GetBillAmounts
Source	`Services/SAIF.Services/Claims/Bills/BillService.cs` — L108-123*

SVC-BR-BIL-010 Approve only when status = 'REV' - 'Error - Incorrect status for approval.'¶

Field	Value
Statement	Approve only when status = "REV": "Error: Incorrect status for approval."
Trigger	ApproveBillRequest
Enforcement	ApproveBillRequestValidator
Outcome	invalid result
Operation(s)	ApproveBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/ApproveBillRequestValidator.cs` — ApproveBillRequestValidator

SVC-BR-BIL-020 SendtoMailId NotNull - 'Error - Mail id is required.'¶

Field	Value
Statement	SendtoMailId NotNull: "Error: Mail id is required."
Trigger	SendPendRequest
Enforcement	SendPendRequestValidator
Outcome	invalid
Operation(s)	SendPendBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/SendPendRequestValidator.cs` — SendPendRequestValidator

SVC-BR-BIL-021 Mail id must be valid - 'Error - Invalid Mail Id.'¶

Field	Value
Statement	Mail id must be valid: "Error: Invalid Mail Id."
Trigger	SendPendRequest
Enforcement	SendPendRequestValidator
Outcome	invalid
Operation(s)	SendPendBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/SendPendRequestValidator.cs` — SendPendRequestValidator

SVC-BR-BIL-022 PendDate < today+60: "Error: Bill cannot be pended more than 60 days into the future."¶

Field	Value
Statement	PendDate < today+60: "Error: Bill cannot be pended more than 60 days into the future."
Trigger	SendPendRequest
Enforcement	SendPendRequestValidator
Outcome	invalid
Operation(s)	SendPendBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/SendPendRequestValidator.cs` — SendPendRequestValidator

SVC-BR-BIL-023 PendDate > yesterday - 'Error - Bill cannot be pended in the past.'¶

Field	Value
Statement	PendDate > yesterday: "Error: Bill cannot be pended in the past."
Trigger	SendPendRequest
Enforcement	SendPendRequestValidator
Outcome	invalid
Operation(s)	SendPendBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/SendPendRequestValidator.cs` — SendPendRequestValidator

SVC-BR-BIL-024 Recipient must have confidential access: "Error: Send Pend Mailid does not have access to receive confidential bills"¶

Field	Value
Statement	Recipient must have confidential access: "Error: Send Pend Mailid does not have access to receive confidential bills"
Trigger	SendPendRequest
Enforcement	SendPendRequestValidator
Outcome	invalid
Operation(s)	SendPendBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/SendPendRequestValidator.cs` — SendPendRequestValidator

SVC-BR-BIL-025 NoteText NotNull - 'Error - Bill note is required.'¶

Field	Value
Statement	NoteText NotNull: "Error: Bill note is required."
Trigger	SendToAuditRequest
Enforcement	SendToAuditRequestValidator
Outcome	invalid
Operation(s)	SendToAudit
Source	`Services/SAIF.Services/Claims/Bills/Validators/SendToAuditRequestValidator.cs` — SendToAuditRequestValidator

SVC-BR-BIL-026 NoteText ≤600 - 'Error - Text exceeds 600 characters.'¶

Field	Value
Statement	NoteText ≤600: "Error: Text exceeds 600 characters."
Trigger	SendToAuditRequest
Enforcement	SendToAuditRequestValidator
Outcome	invalid
Operation(s)	SendToAudit
Source	`Services/SAIF.Services/Claims/Bills/Validators/SendToAuditRequestValidator.cs` — SendToAuditRequestValidator

SVC-BR-BIL-027 All bills Status.IsCompleted - 'Error - Bill must be in completed status to regenerate'¶

Field	Value
Statement	All bills Status.IsCompleted: "Error: Bill must be in completed status to regenerate"
Trigger	RegenerateRequest
Enforcement	RegenerateRequestValidator
Outcome	invalid
Operation(s)	RegenerateBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/RegenerateRequestValidator.cs` — RegenerateRequestValidator

SVC-BR-BIL-028 NoteText NotEmpty - 'Error - Text is required.'¶

Field	Value
Statement	NoteText NotEmpty: "Error: Text is required."
Trigger	RegenerateRequest
Enforcement	RegenerateRequestValidator
Outcome	invalid
Operation(s)	RegenerateBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/RegenerateRequestValidator.cs` — RegenerateRequestValidator

SVC-BR-BIL-029 NoteText ≤600 - 'Error - Text exceeds 600 characters.'¶

Field	Value
Statement	NoteText ≤600: "Error: Text exceeds 600 characters."
Trigger	RegenerateRequest
Enforcement	RegenerateRequestValidator
Outcome	invalid
Operation(s)	RegenerateBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/RegenerateRequestValidator.cs` — RegenerateRequestValidator

SVC-BR-BIL-030 Full-duplicate bills are skipped: "Bill {0} was not regenerated because it is a duplicate of bill {1}"¶

Field	Value
Statement	Full-duplicate bills are skipped: "Bill {0} was not regenerated because it is a duplicate of bill {1}"
Trigger	regenerate
Enforcement	BillService.cs L206-211
Outcome	message, skipped
Operation(s)	RegenerateBill
Source	`Services/SAIF.Services/Claims/Bills/BillService.cs` — BillService.cs L206-211

SVC-BR-BIL-031 Summary - 'Bill(s) regenerated with the exception of -' / 'Bill(s) successfully regenerated.'¶

Field	Value
Statement	Summary: "Bill(s) regenerated with the exception of:" / "Bill(s) successfully regenerated."
Trigger	≥1 success
Enforcement	L221-227
Outcome	message
Operation(s)	RegenerateBill
Source	`Services/SAIF.Services/Claims/Bills/BillService.cs` — L221-227*

SVC-BR-BIL-040 IssueDate NotEmpty - 'Error - Issue date is required!'¶

Field	Value
Statement	IssueDate NotEmpty: "Error: Issue date is required!"
Trigger	PaymentOptionsRequest
Enforcement	PaymentOptionsRequestValidator
Outcome	invalid
Operation(s)	UpdatePaymentOptions
Source	`Services/SAIF.Services/Claims/Bills/Validators/PaymentOptionsRequestValidator.cs` — PaymentOptionsRequestValidator

SVC-BR-BIL-041 IssueDate ≥ MA NextIssueDate: "Error: Issue date should not be less than the next available check run date."¶

Field	Value
Statement	IssueDate ≥ MA NextIssueDate: "Error: Issue date should not be less than the next available check run date."
Trigger	PaymentOptionsRequest
Enforcement	PaymentOptionsRequestValidator
Outcome	invalid
Operation(s)	UpdatePaymentOptions
Source	`Services/SAIF.Services/Claims/Bills/Validators/PaymentOptionsRequestValidator.cs` — PaymentOptionsRequestValidator

SVC-BR-BIL-042 IssueDate ≤ today+28: "Error: Issue date should not be more than 28 days into the future."¶

Field	Value
Statement	IssueDate ≤ today+28: "Error: Issue date should not be more than 28 days into the future."
Trigger	PaymentOptionsRequest
Enforcement	PaymentOptionsRequestValidator
Outcome	invalid
Operation(s)	UpdatePaymentOptions
Source	`Services/SAIF.Services/Claims/Bills/Validators/PaymentOptionsRequestValidator.cs` — PaymentOptionsRequestValidator

SVC-BR-BIL-043 IssueDate must be a working day: "Error: Issue date should be on a working day."¶

Field	Value
Statement	IssueDate must be a working day: "Error: Issue date should be on a working day."
Trigger	PaymentOptionsRequest
Enforcement	PaymentOptionsRequestValidator (IWorkCalendarService)
Outcome	invalid
Operation(s)	UpdatePaymentOptions
Source	`Services/SAIF.Services/Claims/Bills/Validators/PaymentOptionsRequestValidator.cs` — PaymentOptionsRequestValidator (IWorkCalendarService)

SVC-BR-BIL-060 Issue date = CurrentNextReviewDate if status is EXT/COM/SUS/APP, or if NextReviewDate ≥ MA NextIssueDate and the last status user contains "@"; otherwise GetNextIssueDate(today, MA NextIssueDate)¶

Field	Value
Statement	Issue date = CurrentNextReviewDate if status is EXT/COM/SUS/APP, or if NextReviewDate ≥ MA NextIssueDate and the last status user contains "@"; otherwise GetNextIssueDate(today, MA NextIssueDate)
Trigger	approve/get
Enforcement	BillService.cs DeterminePaymentIssueDate
Outcome	date
Operation(s)	ApproveBill, GetPaymentOptions
Source	`Services/SAIF.Services/Claims/Bills/BillService.cs` — BillService.cs DeterminePaymentIssueDate

SVC-BR-BIL-061 CanUpdate = status not in EXT/COM/SUS AND caller flag¶

Field	Value
Statement	CanUpdate = status not in EXT/COM/SUS AND caller flag
Trigger	get
Enforcement	L425
Outcome	flag
Operation(s)	GetPaymentOptions
Source	`Services/SAIF.Services/Claims/Bills/BillService.cs` — L425*

SVC-BR-BIL-062 If today is not a working day, or today == nextIssueDate → NextWorkDay(nextIssueDate); else nextIssueDate¶

Field	Value
Statement	If today is not a working day, or today == nextIssueDate → NextWorkDay(nextIssueDate); else nextIssueDate
Trigger	calc
Enforcement	L441-451
Outcome	date
Operation(s)	GetNextIssueDate
Source	`Services/SAIF.Services/Claims/Bills/BillService.cs` — L441-451*

SVC-BR-BIL-063 Header requires the claim in Claim Center, else throw "Claim does not exists in Claim Center"¶

Field	Value
Statement	Header requires the claim in Claim Center, else throw "Claim does not exists in Claim Center"
Trigger	header
Enforcement	L281
Outcome	exception
Operation(s)	GetBillHeader
Source	`Services/SAIF.Services/Claims/Bills/BillService.cs` — L281*

SVC-BR-BIL-070 A queue task whose ImageId already exists on a CbpBill is a duplicate; fetch the next task¶

Field	Value
Statement	A queue task whose ImageId already exists on a CbpBill is a duplicate; fetch the next task
Trigger	queue
Enforcement	BillEntryService.cs L131-136, L92-96
Outcome	loop
Operation(s)	GetNextClaimBillFromQueue
Source	`Services/SAIF.Services/Claims/Bills/BillEntryService.cs` — BillEntryService.cs L131-136, L92-96

SVC-BR-BIL-071 Return code 0 = ok; 1 = empty ("No bills remain in the queue. Break time!!"); 2 = throw an error stating the maximum number of autofeed retrieval attempts was met; other = throw "There was an unknown problem retrieving a bill from the queue."¶

Field	Value
Statement	Return code 0 = ok; 1 = empty ("No bills remain in the queue. Break time!!"); 2 = throw an error stating the maximum number of autofeed retrieval attempts was met; other = throw "There was an unknown problem retrieving a bill from the queue."
Trigger	queue
Enforcement	L145-159
Outcome	warn/throw
Operation(s)	GetNextClaimBillFromQueue
Source	`Services/SAIF.Services/Claims/Bills/BillEntryService.cs` — L145-159*

Field	Value
Statement	Image not found: in production, log and skip to the next task; otherwise warn and still build the bill
Trigger	image
Enforcement	L112-124
Outcome	skip/warn
Operation(s)	GetNextClaimBillFromQueue
Source	`Services/SAIF.Services/Claims/Bills/BillEntryService.cs` — L112-124*

SVC-BR-BIL-073 Other imaging errors: restore task to queue; warn "Problem reading image from OnBase. Please contact support."¶

Field	Value
Statement	Other imaging errors: restore task to queue; warn "Problem reading image from OnBase. Please contact support."
Trigger	image
Enforcement	L172-180
Outcome	warn, empty bill
Operation(s)	GetNextClaimBillFromQueue
Source	`Services/SAIF.Services/Claims/Bills/BillEntryService.cs` — L172-180*

SVC-BR-BIL-074 New queue bill: type Standard, status PEN, claim# from image else task; worker autofill failure throws "Unable to autofill worker information"¶

Field	Value
Statement	New queue bill: type Standard, status PEN, claim# from image else task; worker autofill failure throws "Unable to autofill worker information"
Trigger	build
Enforcement	L185-210
Outcome	Add CbpBill
Operation(s)	GetNextClaimBillFromQueue
Source	`Services/SAIF.Services/Claims/Bills/BillEntryService.cs` — L185-210*

SVC-BR-BIL-075 Bill not found → error "Unable to find bill with ID"; no ImageId/TowId → warn "This bill does not have an associated image."; ImageId preferred over TowId¶

Field	Value
Statement	Bill not found → error "Unable to find bill with ID"; no ImageId/TowId → warn "This bill does not have an associated image."; ImageId preferred over TowId
Trigger	get
Enforcement	L226-252, L605-620
Outcome	msg
Operation(s)	GetBill
Source	`Services/SAIF.Services/Claims/Bills/BillEntryService.cs` — L226-252, L605-620*

SVC-BR-BIL-076 Provider-contact notes are excluded from bill notes¶

Field	Value
Statement	Provider-contact notes are excluded from bill notes
Trigger	get
Enforcement	L265
Outcome	filter
Operation(s)	GetBillNotes
Source	`Services/SAIF.Services/Claims/Bills/BillEntryService.cs` — L265*

SVC-BR-BIL-080 BillTotalAmount NotNull - 'Error - Bill total amount is required.'¶

Field	Value
Statement	BillTotalAmount NotNull: "Error: Bill total amount is required."
Trigger	Bill
Enforcement	BillValidator
Outcome	invalid
Operation(s)	SaveBill/SubmitBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — BillValidator

SVC-BR-BIL-081 BillTypeCode NotNull - 'Error - Bill type is required.'¶

Field	Value
Statement	BillTypeCode NotNull: "Error: Bill type is required."
Trigger	Bill
Enforcement	BillValidator
Outcome	invalid
Operation(s)	SaveBill/SubmitBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — BillValidator

SVC-BR-BIL-082 DrgCode ≤3 - 'Error - DRG code can be a maximum 3 characters.'¶

Field	Value
Statement	DrgCode ≤3: "Error: DRG code can be a maximum 3 characters."
Trigger	Bill
Enforcement	BillValidator
Outcome	invalid
Operation(s)	SaveBill/SubmitBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — BillValidator

SVC-BR-BIL-083 Claim number must be valid (ClaimQueryProvider.IsValidClaim) - 'Error - Claim not found.'¶

Field	Value
Statement	Claim number must be valid (ClaimQueryProvider.IsValidClaim): "Error: Claim not found."
Trigger	Bill
Enforcement	BillValidator
Outcome	invalid
Operation(s)	SaveBill/SubmitBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — BillValidator

SVC-BR-BIL-084 UbBillTypeCode numeric - 'Error - UB Bill Type Code is invalid. Must be numeric.'¶

Field	Value
Statement	UbBillTypeCode numeric: "Error: UB Bill Type Code is invalid. Must be numeric."
Trigger	Bill
Enforcement	BillValidator
Outcome	invalid
Operation(s)	SaveBill/SubmitBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — BillValidator

SVC-BR-BIL-085 CBPAdmissionTypeCode must be in the acceptable list - 'Error - CBP Admission Type Code is invalid.'¶

Field	Value
Statement	CBPAdmissionTypeCode must be in the acceptable list: "Error: CBP Admission Type Code is invalid."
Trigger	Bill
Enforcement	BillValidator
Outcome	invalid
Operation(s)	SaveBill/SubmitBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — BillValidator

SVC-BR-BIL-086 Optimistic concurrency: UpdateNumber mismatch → "Bill has been updated by someone else. Please re-open the bill and try again. Last updated by: {user}."¶

Field	Value
Statement	Optimistic concurrency: UpdateNumber mismatch → "Bill has been updated by someone else. Please re-open the bill and try again. Last updated by: {user}."
Trigger	save
Enforcement	L297-302
Outcome	error, dispose
Operation(s)	SaveBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — L297-302*

SVC-BR-BIL-087 A bill with no existing row is created with status PEN, entry source CBE¶

Field	Value
Statement	A bill with no existing row is created with status PEN, entry source CBE
Trigger	save
Enforcement	L291-295, L378-398
Outcome	Add
Operation(s)	SaveBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — L291-295, L378-398*

SVC-BR-BIL-090 Submit requires a claim # - 'Error - Claim number is required.'¶

Field	Value
Statement	Submit requires a claim #: "Error: Claim number is required."
Trigger	submit
Enforcement	L315
Outcome	error
Operation(s)	SubmitBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — L315*

SVC-BR-BIL-091 Billing provider required unless type 'W' - 'Error - Billing Provider is required.'¶

Field	Value
Statement	Billing provider required unless type "W": "Error: Billing Provider is required."
Trigger	submit
Enforcement	L318
Outcome	error
Operation(s)	SubmitBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — L318*

SVC-BR-BIL-092 At least one service line - 'Error - At least one service line is required.'¶

Field	Value
Statement	At least one service line: "Error: At least one service line is required."
Trigger	submit
Enforcement	L321
Outcome	error
Operation(s)	SubmitBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — L321*

SVC-BR-BIL-093 Received date must be > today−9y and ≤ today - 'Error - Invalid received date'¶

Field	Value
Statement	Received date must be > today−9y and ≤ today: "Error: Invalid received date"
Trigger	submit
Enforcement	L324-326
Outcome	error
Operation(s)	SubmitBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — L324-326*

SVC-BR-BIL-094 Status code must exist, else throw InvalidDataException "Error: New bill status code is invalid: {code}"; new status effective today, responsible = recipient.ToUpper() or current user¶

Field	Value
Statement	Status code must exist, else throw InvalidDataException "Error: New bill status code is invalid: {code}"; new status effective today, responsible = recipient.ToUpper() or current user
Trigger	status change
Enforcement	L348-360
Outcome	AddStatus
Operation(s)	UpdateBillStatus
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — L348-360*

SVC-BR-BIL-095 TIN required ("Error: No tin was provided"); provider must exist ("Error: No Provider found with tin")¶

Field	Value
Statement	TIN required ("Error: No tin was provided"); provider must exist ("Error: No Provider found with tin")
Trigger	lookup
Enforcement	L654-658
Outcome	NoMatchingDataException
Operation(s)	GetProviderLocations
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — L654-658*

SVC-BR-BIL-096 Location must exist - 'Error - No Provider Location found with location id'¶

Field	Value
Statement	Location must exist: "Error: No Provider Location found with location id"
Trigger	lookup
Enforcement	L696
Outcome	exception
Operation(s)	GetRenderingProviders
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — L696*

SVC-BR-BIL-087b Unknown new bill type → throw 'Error - Unknown new bill type code.'¶

Field	Value
Statement	Unknown new bill type → throw "Error: Unknown new bill type code."
Trigger	type change
Enforcement	L478
Outcome	exception
Operation(s)	SaveBill
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillValidator.cs` — L478*

SVC-BR-BIL-100 DiagnosisCode NotNull/NotEmpty (DiagnosisCodeRequiredMessage)¶

Field	Value
Statement	DiagnosisCode NotNull/NotEmpty (DiagnosisCodeRequiredMessage)
Trigger	BillDiagnosis
Enforcement	BillDiagnosisValidator
Outcome	invalid
Operation(s)	Create/UpdateDiagnoses
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillDiagnosisValidator.cs` — BillDiagnosisValidator

SVC-BR-BIL-101 DiagnosisType and its Code required (DiagnosisTypeRequiredMessage)¶

Field	Value
Statement	DiagnosisType and its Code required (DiagnosisTypeRequiredMessage)
Trigger	BillDiagnosis
Enforcement	BillDiagnosisValidator
Outcome	invalid
Operation(s)	Create/UpdateDiagnoses
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillDiagnosisValidator.cs` — BillDiagnosisValidator

SVC-BR-BIL-102 DiagnosisType.Code must be a valid code (DiagnosisTypeInvalidMessage)¶

Field	Value
Statement	DiagnosisType.Code must be a valid code (DiagnosisTypeInvalidMessage)
Trigger	BillDiagnosis
Enforcement	BillDiagnosisValidator
Outcome	invalid
Operation(s)	Create/UpdateDiagnoses
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillDiagnosisValidator.cs` — BillDiagnosisValidator

SVC-BR-BIL-103 Standard bills require a pointer - 'Error - Diagnosis Pointer is required on standard bills'¶

Field	Value
Statement	Standard bills require a pointer: "Error: Diagnosis Pointer is required on standard bills"
Trigger	save
Enforcement	BillDiagnosisService ValidateDiagnoses
Outcome	error
Operation(s)	Create/UpdateDiagnoses
Source	`Services/SAIF.Services/Claims/Bills/BillDiagnosisService.cs` — BillDiagnosisService ValidateDiagnoses

SVC-BR-BIL-104 Standard: duplicate code → "Error: Unable to save Diagnosis: {code}. Please remove duplicate diagnosis codes."¶

Field	Value
Statement	Standard: duplicate code → "Error: Unable to save Diagnosis: {code}. Please remove duplicate diagnosis codes."
Trigger	save
Enforcement	DiagnosisIsDuplicate
Outcome	error
Operation(s)	Create/UpdateDiagnoses
Source	`Services/SAIF.Services/Claims/Bills/BillDiagnosisService.cs` — DiagnosisIsDuplicate*

SVC-BR-BIL-105 Inpatient/Outpatient: duplicate code+type → throw an error citing duplicate diagnosis code/type combos; unknown type → throw "Error: Unknown bill type when checking for duplicate diagnoses."¶

Field	Value
Statement	Inpatient/Outpatient: duplicate code+type → throw an error citing duplicate diagnosis code/type combos; unknown type → throw "Error: Unknown bill type when checking for duplicate diagnoses."
Trigger	save
Enforcement	DiagnosisIsDuplicate
Outcome	error/throw
Operation(s)	Create/UpdateDiagnoses
Source	`Services/SAIF.Services/Claims/Bills/BillDiagnosisService.cs` — DiagnosisIsDuplicate*

SVC-BR-BIL-106 Codes trimmed and uppercased; IsValidCode = code found (including expired)¶

Field	Value
Statement	Codes trimmed and uppercased; IsValidCode = code found (including expired)
Trigger	save/get
Enforcement	Clean/PopulateValidCodeAndDescription
Outcome	flags
Operation(s)	Create/UpdateDiagnoses
Source	`Services/SAIF.Services/Claims/Bills/BillDiagnosisService.cs` — Clean/PopulateValidCodeAndDescription*

SVC-BR-BIL-110 ProcedureCode required (ProcedureCodeRequiredMessage)¶

Field	Value
Statement	ProcedureCode required (ProcedureCodeRequiredMessage)
Trigger	BillProcedure
Enforcement	BillProcedureValidator
Outcome	invalid
Operation(s)	Create/UpdateProcedures
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillProcedureValidator.cs` — BillProcedureValidator

SVC-BR-BIL-111 ProcedureCode length 1-8 (ProcedureCodeToLongMessage)¶

Field	Value
Statement	ProcedureCode length 1-8 (ProcedureCodeToLongMessage)
Trigger	BillProcedure
Enforcement	BillProcedureValidator
Outcome	invalid
Operation(s)	Create/UpdateProcedures
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillProcedureValidator.cs` — BillProcedureValidator

SVC-BR-BIL-112 PrimaryProcedure required and must be a valid code (PrimaryProcedureCodeRequired/InvalidMessage)¶

Field	Value
Statement	PrimaryProcedure required and must be a valid code (PrimaryProcedureCodeRequired/InvalidMessage)
Trigger	BillProcedure
Enforcement	BillProcedureValidator
Outcome	invalid
Operation(s)	Create/UpdateProcedures
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillProcedureValidator.cs` — BillProcedureValidator

SVC-BR-BIL-113 ProcedureDate ≥ today−9y: "Error: Procedure date cannot be greater than 9 years in the past."¶

Field	Value
Statement	ProcedureDate ≥ today−9y: "Error: Procedure date cannot be greater than 9 years in the past."
Trigger	BillProcedure
Enforcement	BillProcedureValidator
Outcome	invalid
Operation(s)	Create/UpdateProcedures
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillProcedureValidator.cs` — BillProcedureValidator

SVC-BR-BIL-114 ProcedureDate ≤ today (ProcedureDateInvalidMessage)¶

Field	Value
Statement	ProcedureDate ≤ today (ProcedureDateInvalidMessage)
Trigger	BillProcedure
Enforcement	BillProcedureValidator
Outcome	invalid
Operation(s)	Create/UpdateProcedures
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillProcedureValidator.cs` — BillProcedureValidator

SVC-BR-BIL-120 ProviderServiceCode NotNull, length 1-11 - 'Error - Invalid Primary service code, value is too long.'¶

Field	Value
Statement	ProviderServiceCode NotNull, length 1-11: "Error: Invalid Primary service code, value is too long."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-121 SecondaryProvServiceCode ≤11 - 'Error - Invalid Secondary service code, value is too long.'¶

Field	Value
Statement	SecondaryProvServiceCode ≤11: "Error: Invalid Secondary service code, value is too long."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-122 DiagnosisPointerCode1-4 ≤1 char - 'Error - Invalid Diagnosis Pointer Code.'¶

Field	Value
Statement	DiagnosisPointerCode1-4 ≤1 char: "Error: Invalid Diagnosis Pointer Code."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-123 Pointers unique - 'Error - Diagnosis Pointers must be unique.'¶

Field	Value
Statement	Pointers unique: "Error: Diagnosis Pointers must be unique."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-124 ServiceDate ≤ today+30: "Error: Service date must be no more than 30 days in the future."¶

Field	Value
Statement	ServiceDate ≤ today+30: "Error: Service date must be no more than 30 days in the future."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-125 EndDate ≥ ServiceDate - 'Error - Service End date must be a valid date.'¶

Field	Value
Statement	EndDate ≥ ServiceDate: "Error: Service End date must be a valid date."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-126 PrescriptionWrittenDate > MinValue - 'Error - Prescription Written date must be a valid date.'¶

Field	Value
Statement	PrescriptionWrittenDate > MinValue: "Error: Prescription Written date must be a valid date."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-127 Modifiers 1-4 ≤2 - 'Error - Modifiers can only be up to two characters.'¶

Field	Value
Statement	Modifiers 1-4 ≤2: "Error: Modifiers can only be up to two characters."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-128 ServiceLocationCode ≤2 - 'Error - Service location code must be 2 digits long.'¶

Field	Value
Statement	ServiceLocationCode ≤2: "Error: Service location code must be 2 digits long."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-129 Quantity ≥0 - 'Error - Service quantity can not be negative.'¶

Field	Value
Statement	Quantity ≥0: "Error: Service quantity can not be negative."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-130 ToothNumber 0-32 - 'Error - Invalid tooth number.'¶

Field	Value
Statement	ToothNumber 0-32: "Error: Invalid tooth number."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-131 DaysSupply 0-99999 - 'Error - Days supply quantity must be a number.'¶

Field	Value
Statement	DaysSupply 0-99999: "Error: Days supply quantity must be a number."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-132 DAW length 1 - 'Error - Invalid DAW, can only be 1 character long.'¶

Field	Value
Statement	DAW length 1: "Error: Invalid DAW, can only be 1 character long."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-133 PrescribingProviderId ≤10 - 'Error - Invalid Prescriber ID, can only be up to 10 characters.'¶

Field	Value
Statement	PrescribingProviderId ≤10: "Error: Invalid Prescriber ID, can only be up to 10 characters."
Trigger	BillService
Enforcement	BillServiceValidator
Outcome	invalid
Operation(s)	Create/UpdateService
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillServiceValidator.cs` — BillServiceValidator

SVC-BR-BIL-136 Charged total = sum of ChargeAmount on the bill's lines¶

Field	Value
Statement	Charged total = sum of ChargeAmount on the bill's lines
Trigger	call
Enforcement	BillServiceService L157
Outcome	decimal?
Operation(s)	GetChargedServicesTotal
Source	`Services/SAIF.Services/Claims/Bills/BillServiceService.cs` — BillServiceService L157

SVC-BR-BIL-137 Service type from a non-expired CBP service code (uppercased), else National Drug code¶

Field	Value
Statement	Service type from a non-expired CBP service code (uppercased), else National Drug code
Trigger	call
Enforcement	L162-175
Outcome	code
Operation(s)	GetServiceTypeCode
Source	`Services/SAIF.Services/Claims/Bills/BillServiceService.cs` — L162-175*

SVC-BR-BIL-140 Valid CPT = a CbpServiceCode with ServiceType 'M'¶

Field	Value
Statement	Valid CPT = a CbpServiceCode with ServiceType "M"
Trigger	call
Enforcement	AuthorizationService L70-75
Outcome	bool
Operation(s)	ValidCptCode
Source	`Services/SAIF.Services/Claims/Bills/AuthorizationService.cs` — AuthorizationService L70-75

SVC-BR-BIL-141 No duplicate surgery date per claim¶

Field	Value
Statement	No duplicate surgery date per claim
Trigger	add
Enforcement	L104
Outcome	false
Operation(s)	AddSurgeryDate
Source	`Services/SAIF.Services/Claims/Bills/AuthorizationService.cs` — L104*

SVC-BR-BIL-142 ClaimId NotNull - 'Error - Claim is required.'¶

Field	Value
Statement	ClaimId NotNull: "Error: Claim is required."
Trigger	AuthorizationItem
Enforcement	AuthorizationItemValidator
Outcome	invalid
Operation(s)	Create/UpdateAuthorization
Source	`Services/SAIF.Services/Claims/Bills/Validators/AuthorizationItemValidator.cs` — AuthorizationItemValidator

SVC-BR-BIL-143 BillingProviderName NotNull - 'Error - Billing Provider is required.'¶

Field	Value
Statement	BillingProviderName NotNull: "Error: Billing Provider is required."
Trigger	AuthorizationItem
Enforcement	AuthorizationItemValidator
Outcome	invalid
Operation(s)	Create/UpdateAuthorization
Source	`Services/SAIF.Services/Claims/Bills/Validators/AuthorizationItemValidator.cs` — AuthorizationItemValidator

SVC-BR-BIL-150 NoteText required - 'Error - Bill note is required.'¶

Field	Value
Statement	NoteText required: "Error: Bill note is required."
Trigger	Note
Enforcement	BillNoteValidator
Outcome	invalid
Operation(s)	CreateNote/UpdateNote
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillNoteValidator.cs` — BillNoteValidator

SVC-BR-BIL-151 NoteText ≤600 - 'Error - Text exceeds 600 characters.'¶

Field	Value
Statement	NoteText ≤600: "Error: Text exceeds 600 characters."
Trigger	Note
Enforcement	BillNoteValidator
Outcome	invalid
Operation(s)	CreateNote/UpdateNote
Source	`Services/SAIF.Services/Claims/Bills/Validators/BillNoteValidator.cs` — BillNoteValidator

SVC-BR-BIL-152 'Error - Text is required.'¶

Field	Value
Statement	"Error: Text is required."
Trigger	NoteModifyRequest
Enforcement	NoteModifyRequestValidator
Outcome	invalid
Operation(s)	Create/EditAuditNote
Source	`Services/SAIF.Services/Claims/Bills/Validators/NoteModifyRequestValidator.cs` — NoteModifyRequestValidator

SVC-BR-BIL-153 Length 1-600 - 'Error - The maximum length for a note is 600 characters.'¶

Field	Value
Statement	Length 1-600: "Error: The maximum length for a note is 600 characters."
Trigger	NoteModifyRequest
Enforcement	NoteModifyRequestValidator
Outcome	invalid
Operation(s)	Create/EditAuditNote
Source	`Services/SAIF.Services/Claims/Bills/Validators/NoteModifyRequestValidator.cs` — NoteModifyRequestValidator

SVC-BR-BIL-154 'Error - Note must have a valid billId.'¶

Field	Value
Statement	"Error: Note must have a valid billId."
Trigger	NoteModifyRequest
Enforcement	NoteModifyRequestValidator
Outcome	invalid
Operation(s)	Create/EditAuditNote
Source	`Services/SAIF.Services/Claims/Bills/Validators/NoteModifyRequestValidator.cs` — NoteModifyRequestValidator

SVC-BR-BIL-155 'Error - Type is required.' / 'Error - Category is required.'¶

Field	Value
Statement	"Error: Type is required." / "Error: Category is required."
Trigger	NoteModifyRequest
Enforcement	NoteModifyRequestValidator
Outcome	invalid
Operation(s)	Create/EditAuditNote
Source	`Services/SAIF.Services/Claims/Bills/Validators/NoteModifyRequestValidator.cs` — NoteModifyRequestValidator

SVC-BR-BIL-156 'Error - Note must have a valid claimId.'¶

Field	Value
Statement	"Error: Note must have a valid claimId."
Trigger	NoteModifyRequest
Enforcement	NoteModifyRequestValidator
Outcome	invalid
Operation(s)	Create/EditAuditNote
Source	`Services/SAIF.Services/Claims/Bills/Validators/NoteModifyRequestValidator.cs` — NoteModifyRequestValidator

SVC-BR-BIL-157 Type must belong to the category - 'Error - Invalid type code for selected category.'¶

Field	Value
Statement	Type must belong to the category: "Error: Invalid type code for selected category."
Trigger	NoteModifyRequest
Enforcement	NoteModifyRequestValidator
Outcome	invalid
Operation(s)	Create/EditAuditNote
Source	`Services/SAIF.Services/Claims/Bills/Validators/NoteModifyRequestValidator.cs` — NoteModifyRequestValidator

SVC-BR-BIL-158 Id > 0 must exist - 'Error - Invalid note id.'¶

Field	Value
Statement	Id > 0 must exist: "Error: Invalid note id."
Trigger	NoteModifyRequest
Enforcement	NoteModifyRequestValidator
Outcome	invalid
Operation(s)	Create/EditAuditNote
Source	`Services/SAIF.Services/Claims/Bills/Validators/NoteModifyRequestValidator.cs` — NoteModifyRequestValidator

SVC-BR-BIL-159 Concurrency - 'Error - Note has been updated by another user.'¶

Field	Value
Statement	Concurrency: "Error: Note has been updated by another user."
Trigger	NoteModifyRequest
Enforcement	NoteModifyRequestValidator
Outcome	invalid
Operation(s)	Create/EditAuditNote
Source	`Services/SAIF.Services/Claims/Bills/Validators/NoteModifyRequestValidator.cs` — NoteModifyRequestValidator

SVC-BR-BIL-160 Id required and must exist - 'Error - Invalid bill selected.'¶

Field	Value
Statement	Id required and must exist: "Error: Invalid bill selected."
Trigger	NoteDeleteRequest
Enforcement	NoteDeleteRequestValidator
Outcome	invalid
Operation(s)	DeleteAuditNote
Source	`Services/SAIF.Services/Claims/Bills/Validators/NoteDeleteRequestValidator.cs` — NoteDeleteRequestValidator

SVC-BR-BIL-165 Service code insert/update not supported¶

Field	Value
Statement	Service code insert/update not supported
Trigger	call
Enforcement	ServiceCodeService L55/60
Outcome	NotImplementedException
Operation(s)	Update/InsertServiceCode
Source	`Services/SAIF.Services/Claims/Bills/ServiceCodeService.cs` — ServiceCodeService L55/60

SVC-BR-BIL-200 Batch retrieved by type/status: 837/ACK for extract, 837/EXTR for index, 837/INDEX for CBP generation, 837/IMAGE for assign, 835/EOB for ack¶

Field	Value
Statement	Batch retrieved by type/status: 837/ACK for extract, 837/EXTR for index, 837/INDEX for CBP generation, 837/IMAGE for assign, 835/EOB for ack
Trigger	batch ops
Enforcement	EBillingService RetrieveBatch calls
Outcome	batch or error
Operation(s)	837/EOB/CBP/Index/Assign
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — EBillingService RetrieveBatch calls

SVC-BR-BIL-201 837 extraction success → batch Extracted and commit; failure → rollback and throw "Error in 837 extraction - review the log file"¶

Field	Value
Statement	837 extraction success → batch Extracted and commit; failure → rollback and throw "Error in 837 extraction - review the log file"
Trigger	process
Enforcement	L147-187
Outcome	commit/throw
Operation(s)	Process837File
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L147-187*

SVC-BR-BIL-202 999 must contain AK9, else throw 'AK9 segment not found'¶

Field	Value
Statement	999 must contain AK9, else throw "AK9 segment not found"
Trigger	ack
Enforcement	L221
Outcome	exception
Operation(s)	ProcessEOBAcknowledgementFile
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L221*

SVC-BR-BIL-203 AK9 R or A applies to the whole batch: R → ebills EOB-Rejected, A → Completed; counts success/failure¶

Field	Value
Statement	AK9 R or A applies to the whole batch: R → ebills EOB-Rejected, A → Completed; counts success/failure
Trigger	ack
Enforcement	ProcessEntireEobBatch
Outcome	status
Operation(s)	ProcessEOBAcknowledgementFile
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — ProcessEntireEobBatch*

SVC-BR-BIL-204 Otherwise per IK5: R → EOB-Rejected plus reject log; else Completed (UpdateUser "EBN0009"); both 835 and 835AK batches → Completed¶

Field	Value
Statement	Otherwise per IK5: R → EOB-Rejected plus reject log; else Completed (UpdateUser "EBN0009"); both 835 and 835AK batches → Completed
Trigger	ack
Enforcement	ProcessEobStatus, L257-260
Outcome	status
Operation(s)	ProcessEOBAcknowledgementFile
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — ProcessEobStatus, L257-260*

SVC-BR-BIL-205 After CBP bills are generated, batch → Setup¶

Field	Value
Statement	After CBP bills are generated, batch → Setup
Trigger	gen
Enforcement	L408-410
Outcome	status
Operation(s)	CreateCbpBillsForBatch
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L408-410*

SVC-BR-BIL-206 After provider/patient/bill-service indexing, batch → Indexed¶

Field	Value
Statement	After provider/patient/bill-service indexing, batch → Indexed
Trigger	index
Enforcement	L793-797
Outcome	status
Operation(s)	IndexBatch
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L793-797*

SVC-BR-BIL-207 After assignment, batch → Completed; errors wrapped 'Batch Id - {id}'¶

Field	Value
Statement	After assignment, batch → Completed; errors wrapped "Batch Id: {id}"
Trigger	assign
Enforcement	L843-873
Outcome	status
Operation(s)	AssignBills
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L843-873*

SVC-BR-BIL-208 Matched images → ebill status Imaged; parent/child images cross-referenced¶

Field	Value
Statement	Matched images → ebill status Imaged; parent/child images cross-referenced
Trigger	associate
Enforcement	L629, L681
Outcome	status
Operation(s)	AssociateEbillImages
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L629, L681*

SVC-BR-BIL-209 EOB must exist - 'Invalid Eob - {id}'¶

Field	Value
Statement	EOB must exist: "Invalid Eob: {id}"
Trigger	reject
Enforcement	L925
Outcome	ArgumentException
Operation(s)	ExtractEobForReject
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L925*

SVC-BR-BIL-210 Clearinghouse/file must not be null (ArgumentNullException); sender resolved via GS SenderId tax id; bills already processed if the clearinghouse control number exists¶

Field	Value
Statement	Clearinghouse/file must not be null (ArgumentNullException); sender resolved via GS SenderId tax id; bills already processed if the clearinghouse control number exists
Trigger	validate
Enforcement	L976-1060
Outcome	bool/throw
Operation(s)	file validation ops
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L976-1060*

SVC-BR-BIL-220 An invoice month already processed and in balance → duplicate (throw ArgumentException); otherwise old errors, bills and invoice are deleted for a rerun¶

Field	Value
Statement	An invoice month already processed and in balance → duplicate (throw ArgumentException); otherwise old errors, bills and invoice are deleted for a rerun
Trigger	invoice
Enforcement	L1147-1189
Outcome	rerun/throw
Operation(s)	ProcessInvoiceFile
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L1147-1189*

SVC-BR-BIL-221 DCN found >1 time → error "Bill was found on ebill table {n} times"; 0 → "Bill was not found on ebill table"¶

Field	Value
Statement	DCN found >1 time → error "Bill was found on ebill table {n} times"; 0 → "Bill was not found on ebill table"
Trigger	line
Enforcement	L1214-1223
Outcome	InvoiceError
Operation(s)	ProcessInvoiceFile
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L1214-1223*

SVC-BR-BIL-222 Charge ≠ ebill.TotalAmount → 'Billed amount does not match invoice'¶

Field	Value
Statement	Charge ≠ ebill.TotalAmount → "Billed amount does not match invoice"
Trigger	line
Enforcement	L1231
Outcome	error
Operation(s)	ProcessInvoiceFile
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L1231*

SVC-BR-BIL-223 Receipt batch SubmissionDate outside the month → 'Bill received outside of invoice period'¶

Field	Value
Statement	Receipt batch SubmissionDate outside the month → "Bill received outside of invoice period"
Trigger	line
Enforcement	L1235
Outcome	error
Operation(s)	ProcessInvoiceFile
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L1235*

SVC-BR-BIL-224 Data starts after the header line; stops at an empty Submitter¶

Field	Value
Statement	Data starts after the header line; stops at an empty Submitter
Trigger	parse
Enforcement	L1195-1206
Outcome	control
Operation(s)	ProcessInvoiceFile
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L1195-1206*

SVC-BR-BIL-225 Month ebill missing from the invoice → 'Bill not included on invoice'¶

Field	Value
Statement	Month ebill missing from the invoice → "Bill not included on invoice"
Trigger	post
Enforcement	L1245-1251
Outcome	error
Operation(s)	ProcessInvoiceFile
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L1245-1251*

SVC-BR-BIL-226 Calculated = billCount × clearinghouse.TransactionFeeAmount; ≠ total → "Specified invoice amt ({0}) doesn't balance w/ calculated amt ({1})"¶

Field	Value
Statement	Calculated = billCount × clearinghouse.TransactionFeeAmount; ≠ total → "Specified invoice amt ({0}) doesn't balance w/ calculated amt ({1})"
Trigger	post
Enforcement	L1253-1262
Outcome	error
Operation(s)	ProcessInvoiceFile
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L1253-1262*

SVC-BR-BIL-227 Zero errors → add marker 'Invoice is in balance'; invoice saved¶

Field	Value
Statement	Zero errors → add marker "Invoice is in balance"; invoice saved
Trigger	post
Enforcement	L1265-1271
Outcome	Add
Operation(s)	ProcessInvoiceFile
Source	`Services/SAIF.Services/Claims/EBilling/EBillingService.cs` — L1265-1271*

SVC-BR-BIL-230 Image API returning 0 → throw 'Image API is returning Zero '¶

Field	Value
Statement	Image API returning 0 → throw "Image API is returning Zero "
Trigger	image
Enforcement	DocumentManager.cs ThrowExceptionIfZero
Outcome	exception
Operation(s)	ImageDocuments
Source	`Services/SAIF.Services/Claims/EBilling/Imaging/DocumentManager.cs` — DocumentManager.cs ThrowExceptionIfZero

SVC-BR-BIL-231 After imaging, bill status → DocumentLoad¶

Field	Value
Statement	After imaging, bill status → DocumentLoad
Trigger	image
Enforcement	DocumentManagementService L61-66
Outcome	status
Operation(s)	UpdateBillStatus
Source	`Services/SAIF.Services/Claims/EBilling/Imaging/DocumentManagementService.cs` — DocumentManagementService L61-66

SVC-BR-BIL-232 File must exist - 'File not found for document control number {0}'¶

Field	Value
Statement	File must exist: "File not found for document control number {0}"
Trigger	file
Enforcement	DocumentFileService L24
Outcome	exception
Operation(s)	GetFile
Source	`Services/SAIF.Services/Claims/EBilling/Imaging/DocumentFileService.cs` — DocumentFileService L24

SVC-BR-BIL-233 File count must equal non-imaged docs in the batch, and names must match control numbers, else InvalidBatchException¶

Field	Value
Statement	File count must equal non-imaged docs in the batch, and names must match control numbers, else InvalidBatchException
Trigger	validate
Enforcement	L40-46
Outcome	exception
Operation(s)	ValidateDocuments
Source	`Services/SAIF.Services/Claims/EBilling/Imaging/DocumentFileService.cs` — L40-46*

SVC-BR-BIL-234 Source/destination directories must exist ('Directory path for documents to image/archive not found')¶

Field	Value
Statement	Source/destination directories must exist ("Directory path for documents to image/archive not found")
Trigger	validate
Enforcement	L54/64
Outcome	exception
Operation(s)	Validate*Directory
Source	`Services/SAIF.Services/Claims/EBilling/Imaging/DocumentFileService.cs` — L54/64*

SVC-BR-BIL-235 At least one document - 'No documents to image were found in directory'¶

Field	Value
Statement	At least one document: "No documents to image were found in directory"
Trigger	list
Enforcement	L75
Outcome	exception
Operation(s)	GetImageDocumentFileNames
Source	`Services/SAIF.Services/Claims/EBilling/Imaging/DocumentFileService.cs` — L75*

SVC-BR-BIL-240 StatementThruDate MinValue → null; transaction stamp applied; rollback on error¶

Field	Value
Statement	StatementThruDate MinValue → null; transaction stamp applied; rollback on error
Trigger	edit/add
Enforcement	Edi/BillOverrideService.cs L93-94, L130
Outcome	persist
Operation(s)	BillOverride Edit/Add (also AuditedServiceOverride)
Source	`Services/SAIF.Services/Edi/BillOverrideService.cs` — Edi/BillOverrideService.cs L93-94, L130

SVC-BR-BIL-241 999 accepted based on the IK5 response code¶

Field	Value
Statement	999 accepted based on the IK5 response code
Trigger	check
Enforcement	MedicalEdiFileService L80-94
Outcome	bool
Operation(s)	HasFileBeenAccepted
Source	`Services/SAIF.Services/Edi/MedicalEdiFileService.cs` — MedicalEdiFileService L80-94

SVC-BR-BIL-250 ICD entry - PCS → procedure path; CM → diagnosis path; otherwise not processed (false)¶

Field	Value
Statement	ICD entry: PCS → procedure path; CM → diagnosis path; otherwise not processed (false)
Trigger	load
Enforcement	Icd10CodeService L99-114
Outcome	route
Operation(s)	ProcessIcdEntry
Source	`Services/SAIF.Services/Claims/ICDCodeService/Icd10CodeService.cs` — Icd10CodeService L99-114

SVC-BR-BIL-251 Missing code that is not deleted → insert; existing code → update (procedure / Z service code / service description / diagnosis)¶

Field	Value
Statement	Missing code that is not deleted → insert; existing code → update (procedure / Z service code / service description / diagnosis)
Trigger	load
Enforcement	L117-168
Outcome	Add/Update
Operation(s)	ProcessProcedure/Diagnosis
Source	`Services/SAIF.Services/Claims/ICDCodeService/Icd10CodeService.cs` — L117-168*

SVC-BR-BIL-260 Legal bill required: "A valid legal bill was not used in the call to Create Legal Bill Financial Transaction"¶

Field	Value
Statement	Legal bill required: "A valid legal bill was not used in the call to Create Legal Bill Financial Transaction"
Trigger	create
Enforcement	FinancialTransactionService L53-56
Outcome	exception
Operation(s)	CreateLegalCheckTransaction
Source	`Services/SAIF.Services/Claims/Payments/FinancialTransactionService.cs` — FinancialTransactionService L53-56

SVC-BR-BIL-261 Valid provider address required: "Error: No valid address available for Bill with Provider Location ID = {id}"¶

Field	Value
Statement	Valid provider address required: "Error: No valid address available for Bill with Provider Location ID = {id}"
Trigger	create
Enforcement	L71-75
Outcome	InvalidPaymentAddressException
Operation(s)	CreateLegalCheckTransaction
Source	`Services/SAIF.Services/Claims/Payments/FinancialTransactionService.cs` — L71-75*

SVC-BR-BIL-262 Special handling maps to a GW delivery method (Certified, Overnight, Foreign, DoNotMail, Registered), default Send¶

Field	Value
Statement	Special handling maps to a GW delivery method (Certified, Overnight, Foreign, DoNotMail, Registered), default Send
Trigger	create
Enforcement	GetGwMappedDeliveryMethod
Outcome	mapping
Operation(s)	Legal/Subpoena checks
Source	`Services/SAIF.Services/Claims/Payments/FinancialTransactionService.cs` — GetGwMappedDeliveryMethod*

SVC-BR-BIL-263 Subpoena required: "A valid subpoena was not used in the call to Create a Subpoena Financial Transaction"¶

Field	Value
Statement	Subpoena required: "A valid subpoena was not used in the call to Create a Subpoena Financial Transaction"
Trigger	create
Enforcement	L140-144
Outcome	exception
Operation(s)	CreateSubpoenaCheckTransactions
Source	`Services/SAIF.Services/Claims/Payments/FinancialTransactionService.cs` — L140-144*

SVC-BR-BIL-264 All recipient provider addresses must be found, else no checks are made¶

Field	Value
Statement	All recipient provider addresses must be found, else no checks are made
Trigger	create
Enforcement	L146
Outcome	empty list
Operation(s)	CreateSubpoenaCheckTransactions
Source	`Services/SAIF.Services/Claims/Payments/FinancialTransactionService.cs` — L146*

SVC-BR-BIL-265 Only recipients with PaidAmount > 0 and not yet paid get a check; they are then marked paid (UpdateUser = approver)¶

Field	Value
Statement	Only recipients with PaidAmount > 0 and not yet paid get a check; they are then marked paid (UpdateUser = approver)
Trigger	create
Enforcement	L148-187
Outcome	GW check plus flag
Operation(s)	CreateSubpoenaCheckTransactions
Source	`Services/SAIF.Services/Claims/Payments/FinancialTransactionService.cs` — L148-187*

Claims¶

SVC-BR-CLM-001 At least one limit (amount ≥ 0, or an expiration date that is set) is required¶

Field	Value
Statement	At least one limit (amount ≥ 0, or an expiration date that is set) is required
Trigger	Payments/Reserve validation, valid function type
Enforcement	ClaimAuthorityValidator RuleFor(HasEitherLimit)
Outcome	"At least one payment limit is required" / "At least one incurred limit is required" (property InitiateLimit.MaximumAmount)
Operation(s)	IsValid*AuthorityEdits, AddEditAuthorityLimit, AddAuthorityLimit
Source	`Services/SAIF.Services/Claims/Authority/Validators/ClaimAuthorityValidator.cs` — ClaimAuthorityValidator RuleFor(HasEitherLimit)

SVC-BR-CLM-002 A function type is required¶

Field	Value
Statement	A function type is required
Trigger	Any limit validated
Enforcement	ClaimAuthorityAuthorizationValidator / ClaimAuthorityValuesValidator RuleFor(IsValidFunctionType)
Outcome	"You must select a function" (functionType)
Operation(s)	IsValid*AuthorityEdits, AddEditAuthorityLimit, AddAuthorityLimit
Source	`Services/SAIF.Services/Claims/Authority/Validators/ClaimAuthorityAuthorizationValidator.cs` — ClaimAuthorityAuthorizationValidator / ClaimAuthorityValuesValidator RuleFor(IsValidFunctionType)

SVC-BR-CLM-003 The granting user must hold the same function type (in payment or reserve limits)¶

Field	Value
Statement	The granting user must hold the same function type (in payment or reserve limits)
Trigger	Not override, AuthorizingEmployeePaymentAuthority set
Enforcement	ClaimAuthorityAuthorizationValidator RuleFor(FunctionType)
Outcome	"You are not authorized to grant this authority"
Operation(s)	IsValid*AuthorityEdits, AddEditAuthorityLimit, AddAuthorityLimit
Source	`Services/SAIF.Services/Claims/Authority/Validators/ClaimAuthorityAuthorizationValidator.cs` — ClaimAuthorityAuthorizationValidator RuleFor(FunctionType)

SVC-BR-CLM-004 The granting user must hold the same approval type for that function¶

Field	Value
Statement	The granting user must hold the same approval type for that function
Trigger	as above
Enforcement	RuleFor(ApprovalType)
Outcome	"You are not authorized to grant this Approval type"
Operation(s)	IsValid*AuthorityEdits, AddEditAuthorityLimit, AddAuthorityLimit
Source	`Services/SAIF.Services/Claims/Authority/Validators/ClaimAuthorityAuthorizationValidator.cs` — RuleFor(ApprovalType)*

SVC-BR-CLM-005 The granted amount must be ≤ the granting user's limit for that function and approval type¶

Field	Value
Statement	The granted amount must be ≤ the granting user's limit for that function and approval type
Trigger	as above
Enforcement	RuleFor(MaximumAmount)
Outcome	"You are not authorized to grant this amount"
Operation(s)	IsValid*AuthorityEdits, AddEditAuthorityLimit, AddAuthorityLimit
Source	`Services/SAIF.Services/Claims/Authority/Validators/ClaimAuthorityAuthorizationValidator.cs` — RuleFor(MaximumAmount)*

SVC-BR-CLM-006 The limit must be > 0¶

Field	Value
Statement	The limit must be > 0
Trigger	Authorization valid or override
Enforcement	ClaimAuthorityValuesValidator RuleFor(MaximumAmount).GreaterThan(0)
Outcome	"Payment limit must be greater than zero" / "Incurred limit must be greater than zero"
Operation(s)	IsValid*AuthorityEdits, AddEditAuthorityLimit, AddAuthorityLimit
Source	`Services/SAIF.Services/Claims/Authority/Validators/ClaimAuthorityValuesValidator.cs` — ClaimAuthorityValuesValidator RuleFor(MaximumAmount).GreaterThan(0)

SVC-BR-CLM-007 The expiration date may not be in the past¶

Field	Value
Statement	The expiration date may not be in the past
Trigger	ExpirationDate ≠ MinValue
Enforcement	RuleFor(ExpirationDate) ≥ Today
Outcome	"Expiration date may not be in the past"
Operation(s)	IsValid*AuthorityEdits, AddEditAuthorityLimit, AddAuthorityLimit
Source	`Services/SAIF.Services/Claims/Authority/Validators/ClaimAuthorityValuesValidator.cs` — RuleFor(ExpirationDate) ≥ Today*

SVC-BR-CLM-008 The expiration date may be at most 1 year ahead¶

Field	Value
Statement	The expiration date may be at most 1 year ahead
Trigger	ExpirationDate ≠ MinValue
Enforcement	RuleFor(ExpirationDate) ≤ Today+1y
Outcome	"Expiration date may not be more than a year in the future"
Operation(s)	IsValid*AuthorityEdits, AddEditAuthorityLimit, AddAuthorityLimit
Source	`Services/SAIF.Services/Claims/Authority/Validators/ClaimAuthorityValuesValidator.cs` — RuleFor(ExpirationDate) ≤ Today+1y*

SVC-BR-CLM-009 Value checks only run if the authorization checks pass (or override is set)¶

Field	Value
Statement	Value checks only run if the authorization checks pass (or override is set)
Trigger	—
Enforcement	ClaimAuthorityValidator.HasValidAuthorization
Outcome	Values rules are skipped
Operation(s)	IsValid*AuthorityEdits, AddEditAuthorityLimit, AddAuthorityLimit
Source	`Services/SAIF.Services/Claims/Authority/Validators/ClaimAuthorityValidator.cs` — ClaimAuthorityValidator.HasValidAuthorization

SVC-BR-CLM-010 Override authority is disabled in production¶

Field	Value
Statement	Override authority is disabled in production
Trigger	IsProduction
Enforcement	ClaimAuthorityService.ValidateAuthorityEdit
Outcome	IsOverrideAuthority = false
Operation(s)	all validating ops
Source	`Services/SAIF.Services/Claims/Authority/ClaimAuthorityService.cs` — ClaimAuthorityService.ValidateAuthorityEdit

SVC-BR-CLM-011 Approve/Initiate → Payments process; otherwise Reserve¶

Field	Value
Statement	Approve/Initiate → Payments process; otherwise Reserve
Trigger	—
Enforcement	GetBusinessProcessFromApprovalType
Outcome	Chooses the validator branch
Operation(s)	AddEditAuthorityLimit, AddAuthorityLimit
Source	`Services/SAIF.Services/Claims/Authority/ClaimAuthorityService.cs` — GetBusinessProcessFromApprovalType*

SVC-BR-CLM-012 An unchanged limit is not updated¶

Field	Value
Statement	An unchanged limit is not updated
Trigger	Same amount and expiration
Enforcement	HasAuthorityLimitChanged
Outcome	No-op
Operation(s)	AddEditAuthorityLimit
Source	`Services/SAIF.Services/Claims/Authority/ClaimAuthorityService.cs` — HasAuthorityLimitChanged*

SVC-BR-CLM-013 Optimistic concurrency on the authority limit¶

Field	Value
Statement	Optimistic concurrency on the authority limit
Trigger	UpdateNumber mismatch
Enforcement	UpdateAuthorityLimit
Outcome	"Someone else has updated this data, please close edit window"; rollback
Operation(s)	AddEditAuthorityLimit
Source	`Services/SAIF.Services/Claims/Authority/ClaimAuthorityService.cs` — UpdateAuthorityLimit*

SVC-BR-CLM-014 Every add, update, delete or revert writes a history row¶

Field	Value
Statement	Every add, update, delete or revert writes a history row
Trigger	—
Enforcement	AddLimitToHistory
Outcome	EmployeeAuthorityPaymentLimitHistory row (amount 0 stored as null)
Operation(s)	authority ops
Source	`Services/SAIF.Services/Claims/Authority/ClaimAuthorityService.cs` — AddLimitToHistory*

SVC-BR-CLM-015 An expired limit reverts to the latest earlier non-expiring history entry that has an amount; otherwise it is deleted¶

Field	Value
Statement	An expired limit reverts to the latest earlier non-expiring history entry that has an amount; otherwise it is deleted
Trigger	Batch
Enforcement	DeleteOrRevertAuthority
Outcome	Revert or delete
Operation(s)	DeleteOrRevertExpiredAuthorities
Source	`Services/SAIF.Services/Claims/Authority/ClaimAuthorityService.cs` — DeleteOrRevertAuthority*

SVC-BR-CLM-016 Default audit user 'CMN0011' when there is no user id¶

Field	Value
Statement	Default audit user "CMN0011" when there is no user id
Trigger	Batch
Enforcement	Delete/RevertAuthority
Outcome	UpdateUser
Operation(s)	batch ops
Source	`Services/SAIF.Services/Claims/Authority/ClaimAuthorityService.cs` — Delete/RevertAuthority*

SVC-BR-CLM-017 'Terminated' means EmployeeStatusCode ≠ 'A'¶

Field	Value
Statement	"Terminated" means EmployeeStatusCode ≠ "A"
Trigger	—
Enforcement	GetTerminatedAuthorities
Outcome	Listed
Operation(s)	GetTerminatedAuthorities
Source	`Services/SAIF.Services/Claims/Authority/ClaimAuthorityService.cs` — GetTerminatedAuthorities*

SVC-BR-CLM-018 In production, inactive users or users with no employee id get no authority¶

Field	Value
Statement	In production, inactive users or users with no employee id get no authority
Trigger	IsProduction
Enforcement	GetClaimAuthority
Outcome	"Unknown User Please enter a valid mailid"
Operation(s)	GetClaimAuthority
Source	`Services/SAIF.Services/Claims/Authority/ClaimAuthorityService.cs` — GetClaimAuthority*

SVC-BR-CLM-019 Updating authority requires ClaimAuthorityUpdate or ClaimAuthorityEAIPUpdate¶

Field	Value
Statement	Updating authority requires ClaimAuthorityUpdate or ClaimAuthorityEAIPUpdate
Trigger	—
Enforcement	CanUserUpdate
Outcome	CanUpdate flag only; the service does not enforce it on writes
Operation(s)	GetClaimAuthority
Source	`Services/SAIF.Services/Claims/Authority/ClaimAuthorityService.cs` — CanUserUpdate*

SVC-BR-CLM-040 A security override is matched by employee id¶

Field	Value
Statement	A security override is matched by employee id
Trigger	—
Enforcement	ClaimInformationService.HasSecurityOverride
Outcome	bool
Operation(s)	TaskService masking
Source	`Services/SAIF.Services/Claims/Information/ClaimInformationService.cs` — ClaimInformationService.HasSecurityOverride

SVC-BR-CLM-041 SSN is masked to the last 4 digits¶

Field	Value
Statement	SSN is masked to the last 4 digits
Trigger	—
Enforcement	GetWorker
Outcome	"*--####"
Operation(s)	GetWorker
Source	`Services/SAIF.Services/Claims/Information/ClaimInformationService.cs` — GetWorker*

SVC-BR-CLM-042 Last payment = sum of TD, VocTD and SupTD details¶

Field	Value
Statement	Last payment = sum of TD, VocTD and SupTD details
Trigger	—
Enforcement	GetLastPayment
Outcome	Amount
Operation(s)	GetLastPayment
Source	`Services/SAIF.Services/Claims/Information/ClaimInformationService.cs` — GetLastPayment*

SVC-BR-CLM-043 Pseudo-adjuster falls back to PseudoPhone / PseudoName¶

Field	Value
Statement	Pseudo-adjuster falls back to PseudoPhone / PseudoName
Trigger	Pseudo user
Enforcement	GetResponsibleAdjuster
Outcome	Contact
Operation(s)	contacts
Source	`Services/SAIF.Services/Claims/Information/ClaimInformationService.cs` — GetResponsibleAdjuster*

SVC-BR-CLM-044 On a secure claim, the supervisor is the adjuster's manager¶

Field	Value
Statement	On a secure claim, the supervisor is the adjuster's manager
Trigger	HostileWorker code set / IsSecureClaim
Enforcement	ClaimContactService.GetSupervisor; ContactsNodeBuilder.AddAdjusterSupervisor
Outcome	Manager contact
Operation(s)	GetSupervisor, BuildContactsNode
Source	`Services/SAIF.Services/Claims/Information/ClaimContactService.cs` — ClaimContactService.GetSupervisor; ContactsNodeBuilder.AddAdjusterSupervisor

SVC-BR-CLM-045 The supervisor is not shown if the same person as the adjuster¶

Field	Value
Statement	The supervisor is not shown if the same person as the adjuster
Trigger	—
Enforcement	GetSupervisor
Outcome	Empty
Operation(s)	GetSupervisor, BuildContactsNode
Source	`Services/SAIF.Services/Claims/Information/ClaimContactService.cs` — GetSupervisor*

SVC-BR-CLM-046 Claim attribute labels (Fraud, Secured worker, Conflict, Overpayment, CDA [date], DCS, and others)¶

Field	Value
Statement	Claim attribute labels (Fraud, Secured worker, Conflict, Overpayment, CDA [date], DCS, and others)
Trigger	—
Enforcement	ClaimNodeBuilder.AddClaimAttributes
Outcome	Labels
Operation(s)	BuildClaimNode
Source	`Services/SAIF.Services/Claims/Information/Api/ClaimNodeBuilder.cs` — ClaimNodeBuilder.AddClaimAttributes

SVC-BR-CLM-047 Legal node excludes Closed cases; 'None' / 'Unassigned' numbering¶

Field	Value
Statement	Legal node excludes Closed cases; "None" / "Unassigned" numbering
Trigger	—
Enforcement	LegalNodeBuilder.AddLegalNode
Outcome	Node
Operation(s)	BuildLegalNode
Source	`Services/SAIF.Services/Claims/Information/Api/LegalNodeBuilder.cs` — LegalNodeBuilder.AddLegalNode

SVC-BR-CLM-048 A Guidewire 404 falls back to the non-converted claim¶

Field	Value
Statement	A Guidewire 404 falls back to the non-converted claim
Trigger	404
Enforcement	GetClaimForOnBaseAsync
Outcome	200 / 500 / passthrough
Operation(s)	BuildLegalNode
Source	`Services/SAIF.Services/Claims/Information/Api/LegalNodeBuilder.cs` — GetClaimForOnBaseAsync*

SVC-BR-CLM-050 Missing-timeloss payment = no 'Zero Prorate Letter' imaged today¶

Field	Value
Statement	Missing-timeloss payment = no "Zero Prorate Letter" imaged today
Trigger	Batch
Enforcement	SendMissingTimeLossReport
Outcome	Email
Operation(s)	BuildLegalNode
Source	`Services/SAIF.Services/Claims/Information/Api/LegalNodeBuilder.cs` — SendMissingTimeLossReport*

SVC-BR-CLM-060 A fully processed batch (counts equal) is purged before the next one¶

Field	Value
Statement	A fully processed batch (counts equal) is purged before the next one
Trigger	Counts equal
Enforcement	ProcessNextBatch
Outcome	Deletes beneficiaries and batch
Operation(s)	ProcessNextBatch
Source	`Services/SAIF.Services/Claims/Information/Api/LegalNodeBuilder.cs` — ProcessNextBatch*

SVC-BR-CLM-061 History is only updated when the new submission date is later¶

Field	Value
Statement	History is only updated when the new submission date is later
Trigger	—
Enforcement	ProcessMedicareBeneficiarysStatelessMode
Outcome	Update or insert
Operation(s)	ProcessNextBatch
Source	`Services/SAIF.Services/Claims/Information/Api/LegalNodeBuilder.cs` — ProcessMedicareBeneficiarysStatelessMode*

SVC-BR-CLM-062 Beneficiary and history counts must match after processing¶

Field	Value
Statement	Beneficiary and history counts must match after processing
Trigger	—
Enforcement	ProcessNextBatch
Outcome	throw "Counts Don't match"
Operation(s)	ProcessNextBatch
Source	`Services/SAIF.Services/Claims/Information/Api/LegalNodeBuilder.cs` — ProcessNextBatch*

SVC-BR-CLM-070 Severity activity role must be Adjuster, Supervisor or RTW Consultant¶

Field	Value
Statement	Severity activity role must be Adjuster, Supervisor or RTW Consultant
Trigger	—
Enforcement	AssignActivityRole
Outcome	Error "Unknown Activity Action Role"
Operation(s)	CreateClaimActivities
Source	`Services/SAIF.Services/Claims/Information/Api/LegalNodeBuilder.cs` — AssignActivityRole*

SVC-BR-CLM-080 Only claims received after 01/03/2021¶

Field	Value
Statement	Only claims received after 01/03/2021
Trigger	—
Enforcement	GenerateMissingTaxIdActivities
Outcome	Lookback is capped
Operation(s)	ClaimTaskGenerationService.CreateClaimActivities
Source	`Services/SAIF.Services/Claims/Information/Api/LegalNodeBuilder.cs` — GenerateMissingTaxIdActivities*

SVC-BR-CLM-081 Skip Void, fatal, inmate and in-progress claims¶

Field	Value
Statement	Skip Void, fatal, inmate and in-progress claims
Trigger	—
Enforcement	GenerateMissingTaxIdActivities
Outcome	Skip
Operation(s)	ClaimTaskGenerationService.CreateClaimActivities
Source	`Services/SAIF.Services/Claims/Information/Api/LegalNodeBuilder.cs` — GenerateMissingTaxIdActivities*

SVC-BR-CLM-082 REQ30 task at 30–59 days; REQ60 at 60+ days only if REQ30 exists; skip if the text config is empty¶

Field	Value
Statement	REQ30 task at 30–59 days; REQ60 at 60+ days only if REQ30 exists; skip if the text config is empty
Trigger	—
Enforcement	GenerateMissingTaxIdActivities
Outcome	Task
Operation(s)	ClaimTaskGenerationService.CreateClaimActivities
Source	`Services/SAIF.Services/Claims/Information/Api/LegalNodeBuilder.cs` — GenerateMissingTaxIdActivities*

SVC-BR-CLM-090 Group filter must be in ClaimActivities.ValidGroups¶

Field	Value
Statement	Group filter must be in ClaimActivities.ValidGroups
Trigger	"{" in user
Enforcement	TaskService.GetTasks
Outcome	Empty list
Operation(s)	GetTasks
Source	`Services/SAIF.Services/Claims/Tasks/TaskService.cs` — TaskService.GetTasks

SVC-BR-CLM-091 Needs an assigned user or a valid claim¶

Field	Value
Statement	Needs an assigned user or a valid claim
Trigger	—
Enforcement	GetTasks
Outcome	Empty
Operation(s)	GetTasks
Source	`Services/SAIF.Services/Claims/Tasks/TaskService.cs` — GetTasks*

SVC-BR-CLM-092 External RTW users never see document (image) tasks¶

Field	Value
Statement	External RTW users never see document (image) tasks
Trigger	IsExternal && RTWExternalUpdate
Enforcement	ApplyAdditionalFilters
Outcome	Filter
Operation(s)	GetTasks
Source	`Services/SAIF.Services/Claims/Tasks/TaskService.cs` — ApplyAdditionalFilters*

SVC-BR-CLM-093 Worker name is masked 'Confidential' for restricted claims without access or an override¶

Field	Value
Statement	Worker name is masked "Confidential" for restricted claims without access or an override
Trigger	—
Enforcement	GetClaimWorkerName
Outcome	Masked name and text
Operation(s)	GetTasks
Source	`Services/SAIF.Services/Claims/Tasks/TaskService.cs` — GetClaimWorkerName*

SVC-BR-CLM-094 External users can only edit their own tasks and cannot reassign¶

Field	Value
Statement	External users can only edit their own tasks and cannot reassign
Trigger	IsExternal
Enforcement	SetAdditionalClaimTaskData, CreateTask
Outcome	Flags
Operation(s)	GetTasks, CreateTask
Source	`Services/SAIF.Services/Claims/Tasks/TaskService.cs` — SetAdditionalClaimTaskData, CreateTask*

SVC-BR-CLM-095 A non-working due date moves to the previous work day¶

Field	Value
Statement	A non-working due date moves to the previous work day
Trigger	—
Enforcement	AdjustTaskDate
Outcome	Date
Operation(s)	Create/Update/Reassign
Source	`Services/SAIF.Services/Claims/Tasks/TaskService.cs` — AdjustTaskDate*

SVC-BR-CLM-096 TaskUser 'INFO' → date MaxValue, Info priority¶

Field	Value
Statement	TaskUser "INFO" → date MaxValue, Info priority
Trigger	—
Enforcement	Create/UpdateTask
Outcome	—
Operation(s)	Create/Update/Reassign
Source	`Services/SAIF.Services/Claims/Tasks/TaskService.cs` — Create/UpdateTask*

SVC-BR-CLM-097 Task concurrency on UpdateNumber¶

Field	Value
Statement	Task concurrency on UpdateNumber
Trigger	Mismatch
Enforcement	UpdateTask
Outcome	"Error: This record has been updated by someone else."
Operation(s)	UpdateTask
Source	`Services/SAIF.Services/Claims/Tasks/TaskService.cs` — UpdateTask*

SVC-BR-CLM-098 A completed or notepad-required task creates a claim note¶

Field	Value
Statement	A completed or notepad-required task creates a claim note
Trigger	—
Enforcement	DeleteTask(private)
Outcome	ClaimNote
Operation(s)	Complete/Delete/UpdateTask
Source	`Services/SAIF.Services/Claims/Tasks/TaskService.cs` — DeleteTask(private)*

SVC-BR-CLM-099 Note preferences are required before completing¶

Field	Value
Statement	Note preferences are required before completing
Trigger	Missing prefs
Enforcement	CreateTaskNote
Outcome	throw ApplicationException "Error: Note preferences must be set before Completing tasks."
Operation(s)	Complete/Delete/UpdateTask
Source	`Services/SAIF.Services/Claims/Tasks/TaskService.cs` — CreateTaskNote*

SVC-BR-CLM-100 Claim must exist¶

Field	Value
Statement	Claim must exist
Trigger	—
Enforcement	ClaimTaskValidator RuleFor(ClaimNumber)
Outcome	"Error: Invalid Claim Number."
Operation(s)	Create/UpdateTask
Source	`Services/SAIF.Services/Claims/Tasks/ClaimTaskValidator.cs` — ClaimTaskValidator RuleFor(ClaimNumber)

SVC-BR-CLM-101 Task user must have CTTaskUpdate or RTWExternalUpdate (unless INFO or a valid group)¶

Field	Value
Statement	Task user must have CTTaskUpdate or RTWExternalUpdate (unless INFO or a valid group)
Trigger	—
Enforcement	RuleFor(TaskUser).Must(CanUserEdit)
Outcome	"Error: Invalid or unauthorized mail ID."
Operation(s)	Create/UpdateTask
Source	`Services/SAIF.Services/Claims/Tasks/ClaimTaskValidator.cs` — RuleFor(TaskUser).Must(CanUserEdit)*

SVC-BR-CLM-102 Task date between today and +2 years (when changed, not INFO)¶

Field	Value
Statement	Task date between today and +2 years (when changed, not INFO)
Trigger	—
Enforcement	RuleFor(TaskDate)
Outcome	"Error: An activity must have a current date or a date not more than 2 years in the future."
Operation(s)	Create/UpdateTask (the base TaskValidator rules are outside scope)
Source	`Services/SAIF.Services/Claims/Tasks/ClaimTaskValidator.cs` — RuleFor(TaskDate)*

SVC-BR-CLM-110 On inmate or secure claims, the note author is recorded as the responsible adjuster¶

Field	Value
Statement	On inmate or secure claims, the note author is recorded as the responsible adjuster
Trigger	—
Enforcement	CreateTaskNote, CreateNote, SaveNote
Outcome	CreateUser/UpdateUser = adjuster MailId
Operation(s)	notes/tasks
Source	`Services/SAIF.Services/Claims/Tasks/ClaimTaskValidator.cs` — CreateTaskNote, CreateNote, SaveNote*

SVC-BR-CLM-120 Note edit window: created fewer than 6 days ago and within 2 work days, and supervisor, creator or secure access¶

Field	Value
Statement	Note edit window: created fewer than 6 days ago and within 2 work days, and supervisor, creator or secure access
Trigger	—
Enforcement	SetNoteAccessProperties
Outcome	CanEdit / CanEditNoteInfo
Operation(s)	GetNotes, GetNote
Source	`Services/SAIF.Services/Claims/Tasks/ClaimTaskValidator.cs` — SetNoteAccessProperties*

SVC-BR-CLM-121 Note concurrency on UpdateDate¶

Field	Value
Statement	Note concurrency on UpdateDate
Trigger	—
Enforcement	SaveNote
Outcome	"Error: This record has been updated by someone else."
Operation(s)	SaveNote
Source	`Services/SAIF.Services/Claims/Tasks/ClaimTaskValidator.cs` — SaveNote*

SVC-BR-CLM-122 External RTW users are stamped 'USER-loadcode'¶

Field	Value
Statement	External RTW users are stamped "USER-loadcode"
Trigger	—
Enforcement	SaveNote, CreateNote, GetUpdateUser
Outcome	Audit user
Operation(s)	notes
Source	`Services/SAIF.Services/Claims/Tasks/ClaimTaskValidator.cs` — SaveNote, CreateNote, GetUpdateUser*

SVC-BR-CLM-123 Delete requires CanEdit¶

Field	Value
Statement	Delete requires CanEdit
Trigger	—
Enforcement	DeleteNote
Outcome	"Error: You don't have permission to delete this note, or the note is too old to delete."
Operation(s)	DeleteNote
Source	`Services/SAIF.Services/Claims/Tasks/ClaimTaskValidator.cs` — DeleteNote*

SVC-BR-CLM-125 Note text is required¶

Field	Value
Statement	Note text is required
Trigger	—
Enforcement	ClaimNoteValidator RuleFor(Text).NotEmpty
Outcome	"Error: Text is required."
Operation(s)	Save/CreateNote
Source	`Services/SAIF.Services/Claims/Notes/Validators/ClaimNoteValidator.cs` — ClaimNoteValidator RuleFor(Text).NotEmpty

SVC-BR-CLM-126 Text ≤ 4000 characters¶

Field	Value
Statement	Text ≤ 4000 characters
Trigger	—
Enforcement	RuleFor(Text).Length(0,4000)
Outcome	"Error: Text may not be more than 4000 characters."
Operation(s)	Save/CreateNote
Source	`Services/SAIF.Services/Claims/Notes/Validators/ClaimNoteValidator.cs` — RuleFor(Text).Length(0,4000)*

SVC-BR-CLM-127 Text + append + header ≤ 4000¶

Field	Value
Statement	Text + append + header ≤ 4000
Trigger	AppendText ≠ null
Enforcement	RuleFor(AppendText).Must
Outcome	"Error: Appended text must not cause text to be more than 4000 characters."
Operation(s)	Save/CreateNote
Source	`Services/SAIF.Services/Claims/Notes/Validators/ClaimNoteValidator.cs` — RuleFor(AppendText).Must*

SVC-BR-CLM-128 Category and type are required¶

Field	Value
Statement	Category and type are required
Trigger	—
Enforcement	NoteCategoryValidator / NoteTypeValidator
Outcome	"Error: Category is required." / "Error: Type is required."
Operation(s)	Save/CreateNote
Source	`Services/SAIF.Services/Claims/Notes/Validators/ClaimNoteValidator.cs` — NoteCategoryValidator / NoteTypeValidator*

SVC-BR-CLM-124 Preferences are converted only for note editors¶

Field	Value
Statement	Preferences are converted only for note editors
Trigger	—
Enforcement	NotePreferenceConversionService.SavePreferences
Outcome	Preference row
Operation(s)	ConvertNotePreferences
Source	`Services/SAIF.Services/Claims/Notes/NotePreferenceConversionService.cs` — NotePreferenceConversionService.SavePreferences

SVC-BR-CLM-130 External RTW users may only access claims whose RTW case matches their load code¶

Field	Value
Statement	External RTW users may only access claims whose RTW case matches their load code
Trigger	RTWExternalUpdate
Enforcement	RTWService.CanAccessRTWClaim
Outcome	bool
Operation(s)	TaskService masking
Source	`Services/SAIF.Services/Claims/RTW/RTWService.cs` — RTWService.CanAccessRTWClaim

SVC-BR-CLM-140 A secure claim is HostileWorker 'R' or 'T'; conflict is IsWorkerConflict¶

Field	Value
Statement	A secure claim is HostileWorker "R" or "T"; conflict is IsWorkerConflict
Trigger	—
Enforcement	SecurityOverrideService constructor mapping
Outcome	DTO flags
Operation(s)	Get*
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideService.cs` — SecurityOverrideService constructor mapping

SVC-BR-CLM-141 An override is editable if not yet expired, and deletable if not yet effective¶

Field	Value
Statement	An override is editable if not yet expired, and deletable if not yet effective
Trigger	—
Enforcement	SetAdditionalProperties
Outcome	Flags only
Operation(s)	Get*
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideService.cs` — SetAdditionalProperties*

SVC-BR-CLM-142 Claim must be valid¶

Field	Value
Statement	Claim must be valid
Trigger	—
Enforcement	SecurityOverrideValidator RuleFor(ClaimNumber)
Outcome	"Error: Invalid claim number."
Operation(s)	Create/UpdateOverride
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideValidator.cs` — SecurityOverrideValidator RuleFor(ClaimNumber)

SVC-BR-CLM-143 User must be valid¶

Field	Value
Statement	User must be valid
Trigger	—
Enforcement	RuleFor(UserId)
Outcome	"Error: Invalid user name."
Operation(s)	Create/UpdateOverride
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideValidator.cs` — RuleFor(UserId)*

SVC-BR-CLM-144 Effective date between today and +1 month (when changed)¶

Field	Value
Statement	Effective date between today and +1 month (when changed)
Trigger	—
Enforcement	RuleFor(EffDate).InclusiveBetween
Outcome	"Error: The effective date must be the current date or a date not more than one month in the future."
Operation(s)	Create/UpdateOverride
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideValidator.cs` — RuleFor(EffDate).InclusiveBetween*

SVC-BR-CLM-145 Effective date must be a working day¶

Field	Value
Statement	Effective date must be a working day
Trigger	—
Enforcement	RuleFor(EffDate).Must(IsWorkingDay)
Outcome	"Error: The effective date must be a valid work day."
Operation(s)	Create/UpdateOverride
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideValidator.cs` — RuleFor(EffDate).Must(IsWorkingDay)*

SVC-BR-CLM-146 Expiration date ≥ effective date¶

Field	Value
Statement	Expiration date ≥ effective date
Trigger	—
Enforcement	RuleFor(ExpDate).Must(IsValidExpDate)
Outcome	"Error: The expiration date must be after the effective date and a date not more than one year in the future."
Operation(s)	Create/UpdateOverride
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideValidator.cs` — RuleFor(ExpDate).Must(IsValidExpDate)*

SVC-BR-CLM-147 Override concurrency on UpdateDate¶

Field	Value
Statement	Override concurrency on UpdateDate
Trigger	—
Enforcement	UpdateOverride
Outcome	"Error: This record has been updated by someone else."
Operation(s)	UpdateOverride
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideValidator.cs` — UpdateOverride*

SVC-BR-CLM-150 Void or denied claims are excluded from the pharmacy extract¶

Field	Value
Statement	Void or denied claims are excluded from the pharmacy extract
Trigger	—
Enforcement	VerifyClaim
Outcome	Warning
Operation(s)	ProcessEligibilityExtract
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideValidator.cs` — VerifyClaim*

SVC-BR-CLM-151 First fill → transmit, then set back to Ineligible (user CMN0117)¶

Field	Value
Statement	First fill → transmit, then set back to Ineligible (user CMN0117)
Trigger	—
Enforcement	UpdatePharmElig
Outcome	Update
Operation(s)	ProcessEligibilityExtract
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideValidator.cs` — UpdatePharmElig*

SVC-BR-CLM-152 A worker with no address is skipped¶

Field	Value
Statement	A worker with no address is skipped
Trigger	—
Enforcement	VerifyWorker
Outcome	Address log
Operation(s)	ProcessEligibilityExtract
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideValidator.cs` — VerifyWorker*

SVC-BR-CLM-153 A foreign address is replaced with SAIF's address¶

Field	Value
Statement	A foreign address is replaced with SAIF's address
Trigger	—
Enforcement	WriteExtract
Outcome	Substitution
Operation(s)	ProcessEligibilityExtract
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideValidator.cs` — WriteExtract*

SVC-BR-CLM-154 Status and group code mapping (A/T, 001–013)¶

Field	Value
Statement	Status and group code mapping (A/T, 001–013)
Trigger	—
Enforcement	WriteExtract
Outcome	Record
Operation(s)	ProcessEligibilityExtract
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideValidator.cs` — WriteExtract*

SVC-BR-CLM-155 Language preference is only kept for codes 01–04¶

Field	Value
Statement	Language preference is only kept for codes 01–04
Trigger	—
Enforcement	WriteExtract
Outcome	—
Operation(s)	ProcessEligibilityExtract
Source	`Services/SAIF.Services/Claims/SecurityOverride/SecurityOverrideValidator.cs` — WriteExtract*

SVC-BR-CLM-160 A broken relationship is expired with no active replacement¶

Field	Value
Statement	A broken relationship is expired with no active replacement
Trigger	—
Enforcement	ClaimReportDataRetriever.GetExpiredRelationships
Outcome	List
Operation(s)	GetBrokenProviderRelationshipDetails
Source	`Services/SAIF.Services/Claims/Reports/ClaimReportDataRetriever.cs` — ClaimReportDataRetriever.GetExpiredRelationships

SVC-BR-CLM-161 Only active claims with outstanding reserves are reported and tasked¶

Field	Value
Statement	Only active claims with outstanding reserves are reported and tasked
Trigger	—
Enforcement	GetReportDetails / UpdateResults
Outcome	Filter
Operation(s)	GetBrokenProviderRelationshipDetails
Source	`Services/SAIF.Services/Claims/Reports/ClaimReportDataRetriever.cs` — GetReportDetails / UpdateResults*

SVC-BR-CLM-170 Conflict or secure access requires the ConflictClaim or SecureClaim resource¶

Field	Value
Statement	Conflict or secure access requires the ConflictClaim or SecureClaim resource
Trigger	—
Enforcement	ClaimSecurityService.GetClaimSecurity, ClaimUserSecurityAccess
Outcome	Access flags
Operation(s)	GetClaimSecurity, LoadClaimSecurity
Source	`Services/SAIF.Services/Security/ClaimSecurityService.cs` — ClaimSecurityService.GetClaimSecurity, ClaimUserSecurityAccess

SVC-BR-CLM-180 Investigation subject name priority¶

Field	Value
Statement	Investigation subject name priority
Trigger	—
Enforcement	FraudInvestigationService.GetSubjectNameAsync
Outcome	Name
Operation(s)	GetClaimSecurity, LoadClaimSecurity
Source	`Services/SAIF.Services/Investigations/FraudInvestigationService.cs` — FraudInvestigationService.GetSubjectNameAsync

Legal¶

SVC-BR-LGL-001 Case/claim lookup must resolve to a claim¶

Field	Value
Statement	Case/claim lookup must resolve to a claim
Trigger	Lookup
Enforcement	LegalService.GetClaimIdByClaimNumberOrCaseNumber
Outcome	Error "Case or claim not found"
Operation(s)	GetClaimSecurity, LoadClaimSecurity
Source	`Services/SAIF.Services/Legal/LegalService.cs` — LegalService.GetClaimIdByClaimNumberOrCaseNumber

SVC-BR-LGL-002 Legal case must exist¶

Field	Value
Statement	Legal case must exist
Trigger	GetClaimNumber
Enforcement	LegalService.GetClaimNumber
Outcome	ArgumentException
Operation(s)	GetClaimSecurity, LoadClaimSecurity
Source	`Services/SAIF.Services/Legal/LegalService.cs` — LegalService.GetClaimNumber

SVC-BR-LGL-003 Users without LNConflict cannot view conflict-worker cases¶

Field	Value
Statement	Users without LNConflict cannot view conflict-worker cases
Trigger	Case list
Enforcement	LegalService.GetCaseList
Outcome	Error "You are not authorized to view this claim"; conflict cases filtered out
Operation(s)	GetCaseList
Source	`Services/SAIF.Services/Legal/LegalService.cs` — LegalService.GetCaseList

SVC-BR-LGL-004 Default selected case is the primary case, else the first case¶

Field	Value
Statement	Default selected case is the primary case, else the first case
Trigger	Case list
Enforcement	LegalService.SetSelectedCase
Outcome	SelectedCase set
Operation(s)	GetCaseList
Source	`Services/SAIF.Services/Legal/LegalService.cs` — LegalService.SetSelectedCase

SVC-BR-LGL-005 Opposing counsel address - Correspondence, then Physical; 'N/A' if absent¶

Field	Value
Statement	Opposing counsel address: Correspondence, then Physical; "N/A" if absent
Trigger	Case list
Enforcement	LegalService.GetOpposingCounselInfo
Outcome	Display
Operation(s)	GetCaseList
Source	`Services/SAIF.Services/Legal/LegalService.cs` — LegalService.GetOpposingCounselInfo

SVC-BR-LGL-006 Assigned attorney - appeal attorney, then schedule attorney, then OUTSIDECNCL/other firm¶

Field	Value
Statement	Assigned attorney: appeal attorney, then schedule attorney, then OUTSIDECNCL/other firm
Trigger	Case info / approval
Enforcement	LegalService.DetermineAssignedAttorney
Outcome	CaseInfo fields
Operation(s)	GetCaseList, SetApproverId, GetPendingBills
Source	`Services/SAIF.Services/Legal/LegalService.cs` — LegalService.DetermineAssignedAttorney

SVC-BR-LGL-007 Attorney list includes profiles expired within the last year¶

Field	Value
Statement	Attorney list includes profiles expired within the last year
Trigger	List
Enforcement	LegalService.LegalAttorneyList
Outcome	Filtered list
Operation(s)	—
Source	`Services/SAIF.Services/Legal/LegalService.cs` — LegalService.LegalAttorneyList

SVC-BR-LGL-008 Historic case costs display as 'Paid'¶

Field	Value
Statement	Historic case costs display as "Paid"
Trigger	Cost history
Enforcement	CaseCostService.PopulateCaseCostHistory
Outcome	Status text
Operation(s)	PopulateAdditionalCaseListProperties
Source	`Services/SAIF.Services/Legal/CaseCostService.cs` — CaseCostService.PopulateCaseCostHistory

SVC-BR-LGL-009 Subpoena recipients appear as prepaid cost rows; 'Returned' if ReturnedDate is set¶

Field	Value
Statement	Subpoena recipients appear as prepaid cost rows; "Returned" if ReturnedDate is set
Trigger	Cost history
Enforcement	CaseCostService.MapRecipientsToCaseCost
Outcome	Rows
Operation(s)	PopulateAdditionalCaseListProperties
Source	`Services/SAIF.Services/Legal/CaseCostService.cs` — CaseCostService.MapRecipientsToCaseCost

SVC-BR-LGL-010 Conference/deposition units are 15-minute increments (hours = units×15/60, rounded away from zero)¶

Field	Value
Statement	Conference/deposition units are 15-minute increments (hours = units×15/60, rounded away from zero)
Trigger	Cost/pending display
Enforcement	CaseCostService.CreateHistoryRow; BillServiceHelper.UnitsToQuantityString
Outcome	Hours
Operation(s)	multiple
Source	`Services/SAIF.Services/Legal/CaseCostService.cs` — CaseCostService.CreateHistoryRow; BillServiceHelper.UnitsToQuantityString

SVC-BR-LGL-011 Adjusted lines nest their parent chain as adjustment history¶

Field	Value
Statement	Adjusted lines nest their parent chain as adjustment history
Trigger	Cost history
Enforcement	CaseCostService.MoveAmendedCaseCostsToAdjustedLists
Outcome	Restructured list
Operation(s)	multiple
Source	`Services/SAIF.Services/Legal/CaseCostService.cs` — CaseCostService.MoveAmendedCaseCostsToAdjustedLists

SVC-BR-LGL-012 Conflict claimant names are masked 'Confidential' without LNConflict¶

Field	Value
Statement	Conflict claimant names are masked "Confidential" without LNConflict
Trigger	Inboxes
Enforcement	BillService.GetInboxItems/GetPendingBills; SubpoenaService.GetInboxItems
Outcome	Masked name
Operation(s)	multiple
Source	`Services/SAIF.Services/Legal/Bills/BillService.cs` — BillService.GetInboxItems/GetPendingBills; SubpoenaService.GetInboxItems

SVC-BR-LGL-013 A bill is over authority when its total exceeds both the initiate and approve limits¶

Field	Value
Statement	A bill is over authority when its total exceeds both the initiate and approve limits
Trigger	Pending bills
Enforcement	BillService.PopulatePendingBillsData
Outcome	IsPaidAmountOverAuthority
Operation(s)	GetPendingBills
Source	`Services/SAIF.Services/Legal/Bills/BillService.cs` — BillService.PopulatePendingBillsData

SVC-BR-LGL-014 Legal support staff = Dept "005201", active, title starting with "Legal"; plus a hard-coded dev list outside production¶

Field	Value
Statement	Legal support staff = Dept "005201", active, title starting with "Legal"; plus a hard-coded dev list outside production
Trigger	Lists
Enforcement	BillService.LegalSupportEmployeeList
Outcome	List
Operation(s)	BillUpdateEmployeesList, GetInboxItems
Source	`Services/SAIF.Services/Legal/Bills/BillService.cs` — BillService.LegalSupportEmployeeList

SVC-BR-LGL-020 Approver = the assigned (or requesting) attorney if their profile is active, else the attorney's manager; no profile → no approver¶

Field	Value
Statement	Approver = the assigned (or requesting) attorney if their profile is active, else the attorney's manager; no profile → no approver
Trigger	Submit/adjust
Enforcement	BillSaveService.SetApproverId
Outcome	ApprovedByEmployeeId; submit falls back to a plain save
Operation(s)	SubmitBill, AdjustBill
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — BillSaveService.SetApproverId

SVC-BR-LGL-021 Approval within the approver's initiate or approve limit → Approved; otherwise PendingApproval routed to the manager with a supervisor comment¶

Field	Value
Statement	Approval within the approver's initiate or approve limit → Approved; otherwise PendingApproval routed to the manager with a supervisor comment
Trigger	Approve
Enforcement	BillSaveService.UpdateBillStatusCode
Outcome	Status transition
Operation(s)	ApproveBill
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — BillSaveService.UpdateBillStatusCode

SVC-BR-LGL-022 Approve-with-changes sets status ApprovedWithChange and appends a tag¶

Field	Value
Statement	Approve-with-changes sets status ApprovedWithChange and appends a tag
Trigger	Action
Enforcement	BillSaveService.ApproveWithChanges
Outcome	Status
Operation(s)	ApproveBill
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — BillSaveService.ApproveWithChanges

SVC-BR-LGL-023 Disapprove returns the bill to InProgress, clears the approver, appends a tag¶

Field	Value
Statement	Disapprove returns the bill to InProgress, clears the approver, appends a tag
Trigger	Action
Enforcement	BillSaveService.DisapproveBill
Outcome	Status
Operation(s)	ApproveBill
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — BillSaveService.DisapproveBill

SVC-BR-LGL-024 Adjustment creates a child bill with only the changed lines; a partial return, or a service change with unchanged amount, forces Approved; no approver → InProgress; no changes → error¶

Field	Value
Statement	Adjustment creates a child bill with only the changed lines; a partial return, or a service change with unchanged amount, forces Approved; no approver → InProgress; no changes → error
Trigger	Adjust
Enforcement	BillSaveService.PrepareAdjustedBillForSave / AdjustBill
Outcome	New bill, comments
Operation(s)	AdjustBill
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — BillSaveService.PrepareAdjustedBillForSave / AdjustBill

SVC-BR-LGL-025 Deleting an adjustment un-amends the parent's lines¶

Field	Value
Statement	Deleting an adjustment un-amends the parent's lines
Trigger	Delete
Enforcement	BillSaveService.DeleteBill
Outcome	IsAmended=false
Operation(s)	AdjustBill
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — BillSaveService.DeleteBill

SVC-BR-LGL-026 Bills in PaymentReturned/Paid status skip validation¶

Field	Value
Statement	Bills in PaymentReturned/Paid status skip validation
Trigger	Save
Enforcement	BillSaveService.SaveLegalBill
Outcome	—
Operation(s)	all bill saves
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — BillSaveService.SaveLegalBill

SVC-BR-LGL-027 Received date must be between the date of injury and today¶

Field	Value
Statement	Received date must be between the date of injury and today
Trigger	Save
Enforcement	BillSaveService.ValidateBill → BillServiceHelper.IsValidReceivedDate
Outcome	"Invalid date. Must be between the claim date of injury and today."
Operation(s)	saves
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — BillSaveService.ValidateBill → BillServiceHelper.IsValidReceivedDate

SVC-BR-LGL-028 Service-from date ≥ date of injury and ≤ today (prepayments ≤ +6 months)¶

Field	Value
Statement	Service-from date ≥ date of injury and ≤ today (prepayments ≤ +6 months)
Trigger	Save
Enforcement	ValidateBillServices → IsValidServiceFromDate
Outcome	"Invalid date. From date must be between the claim date of injury and today. Prepays are within 6 months."
Operation(s)	saves
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — ValidateBillServices → IsValidServiceFromDate*

SVC-BR-LGL-029 Thru date ≥ from date and ≤ today (prepayments +6 months)¶

Field	Value
Statement	Thru date ≥ from date and ≤ today (prepayments +6 months)
Trigger	Save
Enforcement	IsValidServiceThruDate
Outcome	"Invalid date. Thru date must be after From date and before tomorrow. Prepays are within 6 months."
Operation(s)	saves
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — IsValidServiceThruDate*

SVC-BR-LGL-030a Zero allowed amount requires an explanation (lines with ParentBillServiceId == 0)¶

Field	Value
Statement	Zero allowed amount requires an explanation (lines with ParentBillServiceId == 0)
Trigger	Save
Enforcement	ValidateBillServices
Outcome	"Explanation is required when allowed amount is zero."
Operation(s)	saves
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — ValidateBillServices*

SVC-BR-LGL-030b If the whole bill pays 0, the reason must be Duplicate, Freeform or Unknown¶

Field	Value
Statement	If the whole bill pays 0, the reason must be Duplicate, Freeform or Unknown
Trigger	Save
Enforcement	ValidateBillServices
Outcome	"Explanation must be unknown service, duplicate bill or other."
Operation(s)	saves
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — ValidateBillServices*

SVC-BR-LGL-031 Optimistic concurrency on UpdateNumber¶

Field	Value
Statement	Optimistic concurrency on UpdateNumber
Trigger	Save
Enforcement	BillSaveService.SaveLegalBill; SubpoenaSaveService.SaveSubpoena; LegalNotesService.UpdateNote; LegalTaskService.UpdateTask
Outcome	"Error: This record has been updated by someone else." + rollback
Operation(s)	saves
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — BillSaveService.SaveLegalBill; SubpoenaSaveService.SaveSubpoena; LegalNotesService.UpdateNote; LegalTaskService.UpdateTask

SVC-BR-LGL-032 Invoice text uppercased; witness info ≤100 chars; subpoena special delivery ≤1000 chars¶

Field	Value
Statement	Invoice text uppercased; witness info ≤100 chars; subpoena special delivery ≤1000 chars
Trigger	Save
Enforcement	SaveLegalBill; SubpoenaSaveService.SetSubpoenaData
Outcome	Truncation
Operation(s)	saves
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — SaveLegalBill; SubpoenaSaveService.SetSubpoenaData*

SVC-BR-LGL-033 Status change writes a BillStatusHistory row; comments are annotated CREATED/ADDED¶

Field	Value
Statement	Status change writes a BillStatusHistory row; comments are annotated CREATED/ADDED
Trigger	Save
Enforcement	SaveLegalBill; BillPaymentService.SetNewBillStatus
Outcome	History
Operation(s)	saves, batch
Source	`Services/SAIF.Services/Legal/Bills/BillSaveService.cs` — SaveLegalBill; BillPaymentService.SetNewBillStatus*

SVC-BR-LGL-034 LegalBill: "Error: Billing provider is required." / "Error: Rendering provider is required." / "Error: Requesting attorney is required." / "Error: Comment may not be more than 4000 characters." / BillStatus.Code "Error: Bill Status is required."¶

Field	Value
Statement	LegalBill: "Error: Billing provider is required." / "Error: Rendering provider is required." / "Error: Requesting attorney is required." / "Error: Comment may not be more than 4000 characters." / BillStatus.Code "Error: Bill Status is required."
Trigger	Validate
Enforcement	LegalBillValidator RuleFor ProviderData.BillingProviderId, RenderingProviderId, RequestedByEmployeeId, Comment, BillStatus→Code
Outcome	Errors
Operation(s)	bill saves
Source	`Services/SAIF.Services/Legal/Bills/LegalBillValidator.cs` — LegalBillValidator RuleFor ProviderData.BillingProviderId, RenderingProviderId, RequestedByEmployeeId, Comment, BillStatus→Code

SVC-BR-LGL-035 LegalBillService: BilledAmount>0 "Error: Billed amount is required"; BilledUnits>0 "Error: Billed units is required"; PaidAmount≥0 "Error: Paid amount cannot be negative"; PaidAmount≤BilledAmount "Error: Paid amount cannot be more than billed amount"; BillService.Code "Error: Service type is required."¶

Field	Value
Statement	LegalBillService: BilledAmount>0 "Error: Billed amount is required"; BilledUnits>0 "Error: Billed units is required"; PaidAmount≥0 "Error: Paid amount cannot be negative"; PaidAmount≤BilledAmount "Error: Paid amount cannot be more than billed amount"; BillService.Code "Error: Service type is required."
Trigger	Validate
Enforcement	LegalBillServiceValidator
Outcome	Errors / CalculateAllowedAmount returns false
Operation(s)	saves, rating
Source	`Services/SAIF.Services/Legal/Bills/LegalBillServiceValidator.cs` — LegalBillServiceValidator

SVC-BR-LGL-040 Paid amount is capped at billed amount before rating¶

Field	Value
Statement	Paid amount is capped at billed amount before rating
Trigger	Rate
Enforcement	BillRateService.CalculateAllowedAmount
Outcome	Cap
Operation(s)	saves, rating
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — BillRateService.CalculateAllowedAmount

SVC-BR-LGL-041 Copy services use the fee schedule; reason ElectronicCopies/PaperCopies if reduced¶

Field	Value
Statement	Copy services use the fee schedule; reason ElectronicCopies/PaperCopies if reduced
Trigger	Rate
Enforcement	ApplyCopyRatesElectronic/Paper
Outcome	PaidAmount
Operation(s)	saves, rating
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — ApplyCopyRatesElectronic/Paper*

SVC-BR-LGL-042 Unknown service pays 0 with reason Unknown¶

Field	Value
Statement	Unknown service pays 0 with reason Unknown
Trigger	Rate
Enforcement	ProcessUnknownService
Outcome	0
Operation(s)	saves, rating
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — ProcessUnknownService*

SVC-BR-LGL-043 IME rate type uses the IME-specific fee, capped at MaximumAmount; reason ImeContract when reduced¶

Field	Value
Statement	IME rate type uses the IME-specific fee, capped at MaximumAmount; reason ImeContract when reduced
Trigger	Rate
Enforcement	ApplyImeRate
Outcome	PaidAmount
Operation(s)	saves, rating
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — ApplyImeRate*

SVC-BR-LGL-044 MCO rate applies when the worker's MCO covers the service date and the provider is in the MCO; capped; reason McoContract¶

Field	Value
Statement	MCO rate applies when the worker's MCO covers the service date and the provider is in the MCO; capped; reason McoContract
Trigger	Rate
Enforcement	ApplyMcoRate/GetWorkerMcoPlan
Outcome	PaidAmount, rate type MCO
Operation(s)	saves, rating
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — ApplyMcoRate/GetWorkerMcoPlan*

SVC-BR-LGL-045 Fee formula - flat amount, else initial units×rate + additional blocks; ≤ billed¶

Field	Value
Statement	Fee formula: flat amount, else initial units×rate + additional blocks; ≤ billed
Trigger	Rate
Enforcement	BillRateService.CalculateAllowedAmount(fee,line)
Outcome	PaidAmount
Operation(s)	saves, rating
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — BillRateService.CalculateAllowedAmount(fee,line)

SVC-BR-LGL-046 Fallback is the Standard rate - pays billed amount, clears contract reasons¶

Field	Value
Statement	Fallback is the Standard rate: pays billed amount, clears contract reasons
Trigger	Rate
Enforcement	CalculateAllowedAmount / SetAdjustmentReason
Outcome	—
Operation(s)	saves, rating
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — CalculateAllowedAmount / SetAdjustmentReason*

SVC-BR-LGL-047 Exact duplicate (provider, case, code, from-date, amount) pays 0 with reason DuplicateBill; same provider/case/date flags a possible duplicate¶

Field	Value
Statement	Exact duplicate (provider, case, code, from-date, amount) pays 0 with reason DuplicateBill; same provider/case/date flags a possible duplicate
Trigger	Rate
Enforcement	CheckForDuplicateService
Outcome	PaidAmount/flag
Operation(s)	saves, rating
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — CheckForDuplicateService*

SVC-BR-LGL-050 Batch - Approved → ReadyToPay, then checks created¶

Field	Value
Statement	Batch: Approved → ReadyToPay, then checks created
Trigger	Batch
Enforcement	GenerateCheckTransactionsAsync
Outcome	Status
Operation(s)	saves, rating
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — GenerateCheckTransactionsAsync*

SVC-BR-LGL-051 Bills with total ≤0 are only counted as zero-pay¶

Field	Value
Statement	Bills with total ≤0 are only counted as zero-pay
Trigger	Batch
Enforcement	GenerateCheckTransactionsAsync
Outcome	Count
Operation(s)	saves, rating
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — GenerateCheckTransactionsAsync*

SVC-BR-LGL-052 Invalid payment address → ApprovedWithChange + comment + email to the creator (prod) or devs¶

Field	Value
Statement	Invalid payment address → ApprovedWithChange + comment + email to the creator (prod) or devs
Trigger	Batch
Enforcement	RejectBillForAddressCorrection
Outcome	Status/email
Operation(s)	check generation
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — RejectBillForAddressCorrection*

SVC-BR-LGL-053 Adjusted bill must have 1 line, a Paid-group parent and an amended original; the delta decides check vs recovery¶

Field	Value
Statement	Adjusted bill must have 1 line, a Paid-group parent and an amended original; the delta decides check vs recovery
Trigger	Batch
Enforcement	GenerateTransactionsForAdjustedBillAsync
Outcome	Check / partial refund
Operation(s)	check generation
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — GenerateTransactionsForAdjustedBillAsync*

SVC-BR-LGL-054 Successful transaction → Paid¶

Field	Value
Statement	Successful transaction → Paid
Trigger	Batch
Enforcement	SetNewBillStatus
Outcome	Status
Operation(s)	check generation
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — SetNewBillStatus*

SVC-BR-LGL-055 Zero-pay letters go to ReadyToPay bills with total 0 for lines with a reason; bills → Paid¶

Field	Value
Statement	Zero-pay letters go to ReadyToPay bills with total 0 for lines with a reason; bills → Paid
Trigger	Batch
Enforcement	GenerateZeroPaymentLetters
Outcome	XML + status
Operation(s)	check generation
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — GenerateZeroPaymentLetters*

SVC-BR-LGL-056 Return payment only for Paid, non-amended bills; GW recovery; lines zeroed; PaymentReturned¶

Field	Value
Statement	Return payment only for Paid, non-amended bills; GW recovery; lines zeroed; PaymentReturned
Trigger	User
Enforcement	ReturnBillPayment
Outcome	Status
Operation(s)	check generation
Source	`Services/SAIF.Services/Legal/Bills/BillRateService.cs` — ReturnBillPayment*

SVC-BR-LGL-060 Authority limit = active EmployeeAuthorityLimit for Payments/function/purpose, else 0¶

Field	Value
Statement	Authority limit = active EmployeeAuthorityLimit for Payments/function/purpose, else 0
Trigger	Any
Enforcement	BillServiceHelper.UserAuthorityLevel
Outcome	Decimal
Operation(s)	approvals
Source	`Services/SAIF.Services/Legal/Bills/BillServiceHelper.cs` — BillServiceHelper.UserAuthorityLevel

SVC-BR-LGL-061 Issue date must be ≥ next issue date, ≤ today+14, and a working day¶

Field	Value
Statement	Issue date must be ≥ next issue date, ≤ today+14, and a working day
Trigger	Validate
Enforcement	IsValidIssueDate
Outcome	bool
Operation(s)	(caller outside scope)
Source	`Services/SAIF.Services/Legal/Bills/BillServiceHelper.cs` — IsValidIssueDate*

SVC-BR-LGL-070 Notes query requires a case id¶

Field	Value
Statement	Notes query requires a case id
Trigger	Get
Enforcement	LegalNotesService.GetNotes
Outcome	ArgumentNullException
Operation(s)	GetNotes
Source	`Services/SAIF.Services/Legal/Notes/LegalNotesService.cs` — LegalNotesService.GetNotes

SVC-BR-LGL-071 Note editable only by supervisor (LNNoteSupervisor) or creator, within 2 working days, not system-created¶

Field	Value
Statement	Note editable only by supervisor (LNNoteSupervisor) or creator, within 2 working days, not system-created
Trigger	Get
Enforcement	SetNoteAccessProperties
Outcome	CanEdit flags
Operation(s)	Get/Create/Update
Source	`Services/SAIF.Services/Legal/Notes/LegalNotesService.cs` — SetNoteAccessProperties*

SVC-BR-LGL-072 Create/update notes requires LNUpdate¶

Field	Value
Statement	Create/update notes requires LNUpdate
Trigger	Write
Enforcement	CreateNote/UpdateNote
Outcome	Errors
Operation(s)	Get/Create/Update
Source	`Services/SAIF.Services/Legal/Notes/LegalNotesService.cs` — CreateNote/UpdateNote*

SVC-BR-LGL-073 Delete - not system-created and CanEdit¶

Field	Value
Statement	Delete: not system-created and CanEdit
Trigger	Delete
Enforcement	DeleteNote
Outcome	Errors
Operation(s)	Get/Create/Update
Source	`Services/SAIF.Services/Legal/Notes/LegalNotesService.cs` — DeleteNote*

SVC-BR-LGL-074 LegalNote: Text "Error: Text is required."; Length 0–4000 "Error: Text may not be more than 4000 characters."; AppendText (text + append + header ≤4000) "Error: Appended text must not cause text to be more than 4000 characters."; Category.Code "Error: Category is required."; CaseId NotEmpty/NotNull/NotEqual(0) (default messages)¶

Field	Value
Statement	LegalNote: Text "Error: Text is required."; Length 0–4000 "Error: Text may not be more than 4000 characters."; AppendText (text + append + header ≤4000) "Error: Appended text must not cause text to be more than 4000 characters."; Category.Code "Error: Category is required."; CaseId NotEmpty/NotNull/NotEqual(0) (default messages)
Trigger	Validate
Enforcement	LegalNoteValidator
Outcome	Errors
Operation(s)	Create/Update
Source	`Services/SAIF.Services/Legal/Notes/Validators/LegalNoteValidator.cs` — LegalNoteValidator

SVC-BR-LGL-080 Subpoena witness pay = flat fee + round(round-trip miles × mileage rate, 2), only when miles >0¶

Field	Value
Statement	Subpoena witness pay = flat fee + round(round-trip miles × mileage rate, 2), only when miles >0
Trigger	Calculation
Enforcement	SubpoenaService.GetCalculatedSubpoenaPayment
Outcome	Amounts
Operation(s)	Create/Update
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaService.cs` — SubpoenaService.GetCalculatedSubpoenaPayment

SVC-BR-LGL-081 Over-authority subpoenas are emailed to LegalSubpoenaApprovers@saif.com¶

Field	Value
Statement	Over-authority subpoenas are emailed to LegalSubpoenaApprovers@saif.com
Trigger	Approval
Enforcement	GetApprovalEmail
Outcome	Email content
Operation(s)	Create/Update
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaService.cs` — GetApprovalEmail*

SVC-BR-LGL-082 Compliance date default = next LS issue +14 days; minimum +7 days¶

Field	Value
Statement	Compliance date default = next LS issue +14 days; minimum +7 days
Trigger	UI
Enforcement	SubpoenaService properties
Outcome	Dates
Operation(s)	—
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaService.cs` — SubpoenaService properties

SVC-BR-LGL-083 Subpoena approved only if the user's limit ≥ max recipient paid amount¶

Field	Value
Statement	Subpoena approved only if the user's limit ≥ max recipient paid amount
Trigger	Approve
Enforcement	SubpoenaSaveService.ApproveSubpoena
Outcome	Approved or unchanged
Operation(s)	—
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaSaveService.cs` — SubpoenaSaveService.ApproveSubpoena

SVC-BR-LGL-084 Opposing counsel firm must have an address¶

Field	Value
Statement	Opposing counsel firm must have an address
Trigger	Save
Enforcement	SubpoenaSaveService.SaveSubpoena
Outcome	"Error: Opposing counsel must have a valid address."
Operation(s)	—
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaSaveService.cs` — SubpoenaSaveService.SaveSubpoena

SVC-BR-LGL-085 Issue date = next LS issue date; witness types +2 work days on approval¶

Field	Value
Statement	Issue date = next LS issue date; witness types +2 work days on approval
Trigger	Save
Enforcement	SetSubpoenaData
Outcome	IssueDate
Operation(s)	save/approve
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaSaveService.cs` — SetSubpoenaData*

SVC-BR-LGL-086 Payment batch: only records/claims types get checks; invalid address → InProgress + email; witness types → ReadyToPay only¶

Field	Value
Statement	Payment batch: only records/claims types get checks; invalid address → InProgress + email; witness types → ReadyToPay only
Trigger	Batch
Enforcement	SubpoenaPaymentService.GenerateCheckTransactionsAsync
Outcome	Status/checks
Operation(s)	save/approve
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaPaymentService.cs` — SubpoenaPaymentService.GenerateCheckTransactionsAsync

SVC-BR-LGL-087 Recipient payment return - not already returned; GW recovery; paid=0, ReturnedDate=today¶

Field	Value
Statement	Recipient payment return: not already returned; GW recovery; paid=0, ReturnedDate=today
Trigger	User
Enforcement	ReturnSubpoenaPaymentAsync
Outcome	Update
Operation(s)	save/approve
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaPaymentService.cs` — ReturnSubpoenaPaymentAsync*

SVC-BR-LGL-088 Print: duplex for records/claims/other-medical; 2 copies for process server without email or zero-pay no-mail; witness paid → F269 to accounting¶

Field	Value
Statement	Print: duplex for records/claims/other-medical; 2 copies for process server without email or zero-pay no-mail; witness paid → F269 to accounting
Trigger	Print
Enforcement	SubpoenaDocumentService.PrintSubpoena
Outcome	Print/email
Operation(s)	save/approve
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaDocumentService.cs` — SubpoenaDocumentService.PrintSubpoena

SVC-BR-LGL-089 Claim must exist in ClaimCenter to render a subpoena¶

Field	Value
Statement	Claim must exist in ClaimCenter to render a subpoena
Trigger	Doc
Enforcement	CreateDocumentRecord
Outcome	Exception
Operation(s)	all doc gen
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaDocumentService.cs` — CreateDocumentRecord*

SVC-BR-LGL-090 Signature 'Special Assistant Attorney General' for state-entity policies, else 'Trial Counsel'¶

Field	Value
Statement	Signature "Special Assistant Attorney General" for state-entity policies, else "Trial Counsel"
Trigger	Doc
Enforcement	SetAttorneyInfo
Outcome	Text
Operation(s)	doc gen
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaDocumentService.cs` — SetAttorneyInfo*

SVC-BR-LGL-091 Certified label failure → action email¶

Field	Value
Statement	Certified label failure → action email
Trigger	Label
Enforcement	SubpoenaLabelService.SendEmailForInvalidAddress
Outcome	Email
Operation(s)	label gen
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaLabelService.cs` — SubpoenaLabelService.SendEmailForInvalidAddress

SVC-BR-LGL-092 Zero-pay subpoena docs for provider-type recipients with paid 0¶

Field	Value
Statement	Zero-pay subpoena docs for provider-type recipients with paid 0
Trigger	Batch
Enforcement	ZeroPaySubpoenaProcess
Outcome	XML
Operation(s)	label gen
Source	`Services/SAIF.Services/Legal/Subpoenas/ZeroPaySubpoenaProcess.cs` — ZeroPaySubpoenaProcess

SVC-BR-LGL-093 Witness docs split by process-server / zero-pay no-mail per ProcessName¶

Field	Value
Statement	Witness docs split by process-server / zero-pay no-mail per ProcessName
Trigger	Batch
Enforcement	WitnessSubpoenaProcess.GetApprovedSubpoenas
Outcome	Selection
Operation(s)	label gen
Source	`Services/SAIF.Services/Legal/Subpoenas/WitnessSubpoenaProcess.cs` — WitnessSubpoenaProcess.GetApprovedSubpoenas

SVC-BR-LGL-094 Opposing counsel copies (excluding Claims+DoNotMail); all ReadyToPay → Paid, all-or-nothing¶

Field	Value
Statement	Opposing counsel copies (excluding Claims+DoNotMail); all ReadyToPay → Paid, all-or-nothing
Trigger	Batch
Enforcement	OpposingCounselService
Outcome	Status
Operation(s)	label gen
Source	`Services/SAIF.Services/Legal/Subpoenas/OpposingCounselService.cs` — OpposingCounselService

SVC-BR-LGL-095 Subpoena: SubpoenaType.Code "Error: Subpoena type must be designated."; Recipients.Count>0 "Error: A subpoena must have at least one recipient."; AppearanceDate "Error: A subpoena must have an appearance date."; AppearanceTime "Error: A subpoena must have an appearance time."; HearingLocation "Error: A subpoena must have a hearing location selected."; ComplianceDate "Error: A subpoena must have a compliance date."; SpecialHandling "Error: A subpoena must have a special handling type selected."; RequestedByEmployeeId "Error: A subpoena must have a requesting attorney."; RecordsFromDate required when thru present; RecordsThruDate required when from present; thru ≥ from "Error: Records thru date cannot be before records from date."; recipient data "Error: Invalid or incomplete Witness information entered."¶

Field	Value
Statement	Subpoena: SubpoenaType.Code "Error: Subpoena type must be designated."; Recipients.Count>0 "Error: A subpoena must have at least one recipient."; AppearanceDate "Error: A subpoena must have an appearance date."; AppearanceTime "Error: A subpoena must have an appearance time."; HearingLocation "Error: A subpoena must have a hearing location selected."; ComplianceDate "Error: A subpoena must have a compliance date."; SpecialHandling "Error: A subpoena must have a special handling type selected."; RequestedByEmployeeId "Error: A subpoena must have a requesting attorney."; RecordsFromDate required when thru present; RecordsThruDate required when from present; thru ≥ from "Error: Records thru date cannot be before records from date."; recipient data "Error: Invalid or incomplete Witness information entered."
Trigger	Validate
Enforcement	SubpoenaValidator
Outcome	Errors
Operation(s)	SaveSubpoena
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaValidator.cs` — SubpoenaValidator

SVC-BR-LGL-096 Recipient data: records/claims types need ProviderLocationId>0 and a 9-char TIN; OtherMedical/Parties/Nonparties need first name 1–20, last name 1–25, and a policy location or a full address (line1 5–40, line2 ≤40, city 2–30, state 2, zip 5, +4 empty or 4); other types invalid¶

Field	Value
Statement	Recipient data: records/claims types need ProviderLocationId>0 and a 9-char TIN; OtherMedical/Parties/Nonparties need first name 1–20, last name 1–25, and a policy location or a full address (line1 5–40, line2 ≤40, city 2–30, state 2, zip 5, +4 empty or 4); other types invalid
Trigger	Validate
Enforcement	SubpoenaValidator.ContainsValidRecipientData
Outcome	Error
Operation(s)	SaveSubpoena
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaValidator.cs` — SubpoenaValidator.ContainsValidRecipientData

SVC-BR-LGL-097 Recipient: MileageCost ≥0 "Error: mileage cost cannot be negative."; MileageUnits ≥0 "Error: mileage units cannot be negative."; PaidAmount 0 or ≥ CalculatedPaidAmount "Error: The paid amount cannot be less than the calculated amount."¶

Field	Value
Statement	Recipient: MileageCost ≥0 "Error: mileage cost cannot be negative."; MileageUnits ≥0 "Error: mileage units cannot be negative."; PaidAmount 0 or ≥ CalculatedPaidAmount "Error: The paid amount cannot be less than the calculated amount."
Trigger	Validate
Enforcement	SubpoenaRecipientValidator
Outcome	Errors
Operation(s)	SaveSubpoena
Source	`Services/SAIF.Services/Legal/Subpoenas/SubpoenaRecipientValidator.cs` — SubpoenaRecipientValidator

SVC-BR-LGL-100 Group-user task queries must use a configured valid group¶

Field	Value
Statement	Group-user task queries must use a configured valid group
Trigger	Query
Enforcement	LegalTaskService.GetTasks
Outcome	Empty result
Operation(s)	GetTasks
Source	`Services/SAIF.Services/Legal/Tasks/LegalTaskService.cs` — LegalTaskService.GetTasks

SVC-BR-LGL-101 Tasks need a user or a valid claim filter¶

Field	Value
Statement	Tasks need a user or a valid claim filter
Trigger	Query
Enforcement	GetTasks
Outcome	Empty
Operation(s)	GetTasks
Source	`Services/SAIF.Services/Legal/Tasks/LegalTaskService.cs` — GetTasks*

SVC-BR-LGL-102 Task list is capped at 300, newest first¶

Field	Value
Statement	Task list is capped at 300, newest first
Trigger	Query
Enforcement	ApplyAdditionalFilters
Outcome	Limit
Operation(s)	GetTasks
Source	`Services/SAIF.Services/Legal/Tasks/LegalTaskService.cs` — ApplyAdditionalFilters*

SVC-BR-LGL-103 Worker name/text masked for conflict/secure claims without access or override¶

Field	Value
Statement	Worker name/text masked for conflict/secure claims without access or override
Trigger	Query
Enforcement	GetClaimWorkerName
Outcome	"Confidential"
Operation(s)	GetTasks, Print
Source	`Services/SAIF.Services/Legal/Tasks/LegalTaskService.cs` — GetClaimWorkerName*

SVC-BR-LGL-104 LegalTask: ClaimNumber IsValidClaim "Error: Invalid Claim Number."; TaskUser CanUserEdit (LNUpdate) unless INFO or valid group "Error: Invalid or unauthorized mail ID."; TaskDate between AdjustTaskDate(today) and today+2 years when changed and not INFO "Error: An activity must have a current date or a date not more than 2 years in the future."; CaseId≠0 for LGLT "Error: A case number must be specified for Legal activities."; LegalNoteCategory NotNull for LGLT and not INFO "Error: Note category is required."¶

Field	Value
Statement	LegalTask: ClaimNumber IsValidClaim "Error: Invalid Claim Number."; TaskUser CanUserEdit (LNUpdate) unless INFO or valid group "Error: Invalid or unauthorized mail ID."; TaskDate between AdjustTaskDate(today) and today+2 years when changed and not INFO "Error: An activity must have a current date or a date not more than 2 years in the future."; CaseId≠0 for LGLT "Error: A case number must be specified for Legal activities."; LegalNoteCategory NotNull for LGLT and not INFO "Error: Note category is required."
Trigger	Validate
Enforcement	LegalTaskValidator
Outcome	Errors
Operation(s)	Create/Update
Source	`Services/SAIF.Services/Legal/Tasks/LegalTaskValidator.cs` — LegalTaskValidator

SVC-BR-LGL-105 Completing an IMAGE LEGAL task requires a note category¶

Field	Value
Statement	Completing an IMAGE LEGAL task requires a note category
Trigger	Complete
Enforcement	CompleteTask
Outcome	Error
Operation(s)	UpdateTask, CompleteTasks
Source	`Services/SAIF.Services/Legal/Tasks/LegalTaskValidator.cs` — CompleteTask*

SVC-BR-LGL-106 Completion writes a LegalNote (LGLT/LEGAL) or ClaimNote (LEGAL/UPDT); preferences required; secure/inmate claims attribute the note to the adjuster¶

Field	Value
Statement	Completion writes a LegalNote (LGLT/LEGAL) or ClaimNote (LEGAL/UPDT); preferences required; secure/inmate claims attribute the note to the adjuster
Trigger	Complete/Delete
Enforcement	CreateTaskNote
Outcome	Note/exception
Operation(s)	Complete/Delete
Source	`Services/SAIF.Services/Legal/Tasks/LegalTaskValidator.cs` — CreateTaskNote*

SVC-BR-LGL-107 Task dates falling on non-working days move to the previous working day¶

Field	Value
Statement	Task dates falling on non-working days move to the previous working day
Trigger	Create/Update/Reassign
Enforcement	AdjustTaskDate
Outcome	Date
Operation(s)	Complete/Delete
Source	`Services/SAIF.Services/Legal/Tasks/LegalTaskValidator.cs` — AdjustTaskDate*

SVC-BR-LGL-108 Restricted/secured tasks cannot be deleted or completed without access¶

Field	Value
Statement	Restricted/secured tasks cannot be deleted or completed without access
Trigger	Delete
Enforcement	DeleteTask / GetTaskData
Outcome	Error / skip
Operation(s)	Complete/Delete
Source	`Services/SAIF.Services/Legal/Tasks/LegalTaskValidator.cs` — DeleteTask / GetTaskData*

Policies and certificates¶

SVC-BR-POL-001 'A certificate holder is required'¶

Field	Value
Statement	"A certificate holder is required"
Trigger	validate CertificateEdit
Enforcement	CertificateValidator.cs L20
Outcome	SaifValidationException
Operation(s)	Add/Edit cert
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateValidator.cs` — CertificateValidator.cs L20

SVC-BR-POL-002 'Certificate type is required.'¶

Field	Value
Statement	"Certificate type is required."
Trigger	validate CertificateEdit
Enforcement	L22
Outcome	SaifValidationException
Operation(s)	Add/Edit cert
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateValidator.cs` — L22*

SVC-BR-POL-003 Holder is validated with CertificateHolderValidator (conditional)¶

Field	Value
Statement	Holder is validated with CertificateHolderValidator (conditional)
Trigger	validate CertificateEdit
Enforcement	L25
Outcome	SaifValidationException
Operation(s)	Add/Edit cert
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateValidator.cs` — L25*

SVC-BR-POL-004 'A policy number is required'¶

Field	Value
Statement	"A policy number is required"
Trigger	validate CertificateEdit
Enforcement	L33
Outcome	SaifValidationException
Operation(s)	Add/Edit cert
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateValidator.cs` — L33*

SVC-BR-POL-005 'A policy period is required'¶

Field	Value
Statement	"A policy period is required"
Trigger	validate CertificateEdit
Enforcement	L34
Outcome	SaifValidationException
Operation(s)	Add/Edit cert
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateValidator.cs` — L34*

SVC-BR-POL-006 'The job description may not be more than {0} characters'¶

Field	Value
Statement	"The job description may not be more than {0} characters"
Trigger	validate CertificateEdit
Enforcement	L36-38
Outcome	SaifValidationException
Operation(s)	Add/Edit cert
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateValidator.cs` — L36-38*

SVC-BR-POL-007 'The other coverages may not be more than {0} characters.' (limit = MaxLengthJobDescription)¶

Field	Value
Statement	"The other coverages may not be more than {0} characters." (limit = MaxLengthJobDescription)
Trigger	validate CertificateEdit
Enforcement	L41-43
Outcome	SaifValidationException
Operation(s)	Add/Edit cert
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateValidator.cs` — L41-43*

SVC-BR-POL-008 'An OSC policy is required.' (OSC type)¶

Field	Value
Statement	"An OSC policy is required." (OSC type)
Trigger	validate CertificateEdit
Enforcement	L49
Outcome	SaifValidationException
Operation(s)	Add/Edit cert
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateValidator.cs` — L49*

SVC-BR-POL-009 'OSC limits are required.' (OSC type)¶

Field	Value
Statement	"OSC limits are required." (OSC type)
Trigger	validate CertificateEdit
Enforcement	L50
Outcome	SaifValidationException
Operation(s)	Add/Edit cert
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateValidator.cs` — L50*

SVC-BR-POL-011 'Certificate holder name is required' / 'Certificate holder name may not be more than 100 characters' (Name1)¶

Field	Value
Statement	"Certificate holder name is required" / "Certificate holder name may not be more than 100 characters" (Name1)
Trigger	validate holder
Enforcement	CertificateHolderValidator.cs L15-16
Outcome	exception
Operation(s)	holder Add/Save/Supersede, cert Add/Edit
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateHolderValidator.cs` — CertificateHolderValidator.cs L15-16

SVC-BR-POL-012 Name2 ≤100, same message¶

Field	Value
Statement	Name2 ≤100, same message
Trigger	validate holder
Enforcement	L18-19
Outcome	exception
Operation(s)	holder Add/Save/Supersede, cert Add/Edit
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateHolderValidator.cs` — L18-19*

SVC-BR-POL-013 'The email address may not be more than 60 characters.'¶

Field	Value
Statement	"The email address may not be more than 60 characters."
Trigger	validate holder
Enforcement	L21
Outcome	exception
Operation(s)	holder Add/Save/Supersede, cert Add/Edit
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateHolderValidator.cs` — L21*

SVC-BR-POL-014 'The email address is not formatted correctly.' (when not empty)¶

Field	Value
Statement	"The email address is not formatted correctly." (when not empty)
Trigger	validate holder
Enforcement	L24-25
Outcome	exception
Operation(s)	holder Add/Save/Supersede, cert Add/Edit
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateHolderValidator.cs` — L24-25*

SVC-BR-POL-015 'The policy number cannot be blank'¶

Field	Value
Statement	"The policy number cannot be blank"
Trigger	validate holder
Enforcement	L28
Outcome	exception
Operation(s)	holder Add/Save/Supersede, cert Add/Edit
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateHolderValidator.cs` — L28*

SVC-BR-POL-016 'Fax number is not in the correct format'¶

Field	Value
Statement	"Fax number is not in the correct format"
Trigger	validate holder
Enforcement	L31
Outcome	exception
Operation(s)	holder Add/Save/Supersede, cert Add/Edit
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateHolderValidator.cs` — L31*

SVC-BR-POL-017 'You must enter at least an email, fax or complete address'¶

Field	Value
Statement	"You must enter at least an email, fax or complete address"
Trigger	validate holder
Enforcement	L39-40
Outcome	exception
Operation(s)	holder Add/Save/Supersede, cert Add/Edit
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateHolderValidator.cs` — L39-40*

SVC-BR-POL-018 Address: Line1/2/3 ≤80 and City ≤30 "Address line may not be more than {0} characters"; Zip ≤5 "The zip code must be 5 numbers" + "The zip code may only be numbers"; Plus4 ≤4 "The zip plus 4 must be 4 numbers" + "The zip plus 4 may only be numbers"¶

Field	Value
Statement	Address: Line1/2/3 ≤80 and City ≤30 "Address line may not be more than {0} characters"; Zip ≤5 "The zip code must be 5 numbers" + "The zip code may only be numbers"; Plus4 ≤4 "The zip plus 4 must be 4 numbers" + "The zip plus 4 may only be numbers"
Trigger	validate holder
Enforcement	CertificateHolderAddressValidator.cs L13-22
Outcome	exception
Operation(s)	holder Add/Save/Supersede, cert Add/Edit
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificateHolderAddressValidator.cs` — CertificateHolderAddressValidator.cs L13-22

SVC-BR-POL-019a 'Delivery method is required'¶

Field	Value
Statement	"Delivery method is required"
Trigger	validate preference
Enforcement	CertificatePreferenceValidator.cs L14
Outcome	exception
Operation(s)	Add/SavePreference
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificatePreferenceValidator.cs` — CertificatePreferenceValidator.cs L14

SVC-BR-POL-019b 'Renewal notification is required' (must not be NotSet)¶

Field	Value
Statement	"Renewal notification is required" (must not be NotSet)
Trigger	validate preference
Enforcement	L17-20
Outcome	exception
Operation(s)	Add/SavePreference
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificatePreferenceValidator.cs` — L17-20*

SVC-BR-POL-019c 'The email address is not formatted correctly.'¶

Field	Value
Statement	"The email address is not formatted correctly."
Trigger	validate preference
Enforcement	L35
Outcome	exception
Operation(s)	Add/SavePreference
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificatePreferenceValidator.cs` — L35*

SVC-BR-POL-019d 'Email address name may not be more than 60 characters'¶

Field	Value
Statement	"Email address name may not be more than 60 characters"
Trigger	validate preference
Enforcement	L37-39
Outcome	exception
Operation(s)	Add/SavePreference
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificatePreferenceValidator.cs` — L37-39*

SVC-BR-POL-019e 'Email is required' (depends on delivery method)¶

Field	Value
Statement	"Email is required" (depends on delivery method)
Trigger	validate preference
Enforcement	L42-45
Outcome	exception
Operation(s)	Add/SavePreference
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificatePreferenceValidator.cs` — L42-45*

SVC-BR-POL-019f 'Fax is required' (depends on delivery method)¶

Field	Value
Statement	"Fax is required" (depends on delivery method)
Trigger	validate preference
Enforcement	L49-52
Outcome	exception
Operation(s)	Add/SavePreference
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificatePreferenceValidator.cs` — L49-52*

SVC-BR-POL-019g 'Fax number is not in the correct format'¶

Field	Value
Statement	"Fax number is not in the correct format"
Trigger	validate preference
Enforcement	L54
Outcome	exception
Operation(s)	Add/SavePreference
Source	`Services/SAIF.Services/Policies/Certificates/Validators/CertificatePreferenceValidator.cs` — L54*

SVC-BR-POL-020 Standard/Bid add needs MaintainOthers, MaintainOwn or the Ext variant of either¶

Field	Value
Statement	Standard/Bid add needs MaintainOthers, MaintainOwn or the Ext variant of either
Trigger	AddCertificate
Enforcement	CertificateSecurityService L318-325; CertificateService L627
Outcome	"Error: You are not authorized to add certificates."
Operation(s)	AddCertificate
Source	`Services/SAIF.Services/Policies/Certificates/CertificateSecurityService.cs` — CertificateSecurityService L318-325; CertificateService L627

SVC-BR-POL-021 OSC add needs MaintainOthersOsc, MaintainOwnOsc or the Ext variant of either¶

Field	Value
Statement	OSC add needs MaintainOthersOsc, MaintainOwnOsc or the Ext variant of either
Trigger	AddCertificate
Enforcement	L300-307
Outcome	"Error: You are not authorized to add certificates."
Operation(s)	AddCertificate
Source	`Services/SAIF.Services/Policies/Certificates/CertificateSecurityService.cs` — L300-307*

SVC-BR-POL-022 Edit/delete: MaintainOthers(Osc) = any certificate; MaintainOwn(Osc) = only if the current user is CreateUser (case-insensitive)¶

Field	Value
Statement	Edit/delete: MaintainOthers(Osc) = any certificate; MaintainOwn(Osc) = only if the current user is CreateUser (case-insensitive)
Trigger	Edit/Delete
Enforcement	L364-378
Outcome	"Error: Certificate cannot be modified." (CertificateService L634)
Operation(s)	Edit, Delete
Source	`Services/SAIF.Services/Policies/Certificates/CertificateSecurityService.cs` — L364-378*

SVC-BR-POL-023 Delete rights equal edit rights¶

Field	Value
Statement	Delete rights equal edit rights
Trigger	Delete
Enforcement	L375
Outcome	"Error: Certificate cannot be modified." (CertificateService L634)
Operation(s)	Delete
Source	`Services/SAIF.Services/Policies/Certificates/CertificateSecurityService.cs` — L375*

SVC-BR-POL-024 Cutoff: editable/deletable only while CreateDate + 9 days (SecurityResources.MaximumEditibleDays = 9) > today. Cutoff date = today − 9¶

Field	Value
Statement	Cutoff: editable/deletable only while CreateDate + 9 days (`SecurityResources.MaximumEditibleDays = 9`) > today. Cutoff date = today − 9
Trigger	Edit/Delete
Enforcement	L391-405
Outcome	"Error: Certificate cannot be modified." (CertificateService L634)
Operation(s)	Edit, Delete, GetCertificateModificationCutoff
Source	`Services/SAIF.Services/Policies/Certificates/CertificateSecurityService.cs` — L391-405*

SVC-BR-POL-025 A certificate already renewed (HasBeenRenewed) cannot be renewed again¶

Field	Value
Statement	A certificate already renewed (HasBeenRenewed) cannot be renewed again
Trigger	Renew
Enforcement	CertificateService L637-642
Outcome	"Error: Certificate cannot be renewed."
Operation(s)	RenewCertificate
Source	`Services/SAIF.Services/Policies/Certificates/CertificateService.cs` — CertificateService L637-642

SVC-BR-POL-026 Renew authority: Standard needs CertificatesRenew or CertificatesRenewExt; OSC needs CertificatesRenewOSC or CertificatesRenewOSCExt (not called by RenewCertificate)¶

Field	Value
Statement	Renew authority: Standard needs CertificatesRenew or CertificatesRenewExt; OSC needs CertificatesRenewOSC or CertificatesRenewOSCExt (not called by RenewCertificate)
Trigger	CertificateCanBeRenewed
Enforcement	L196-224, 355-362
Outcome	bool
Operation(s)	UI checks
Source	`Services/SAIF.Services/Policies/Certificates/CertificateService.cs` — L196-224, 355-362*

SVC-BR-POL-027 Resend is always allowed (cancel-date rule is commented out)¶

Field	Value
Statement	Resend is always allowed (cancel-date rule is commented out)
Trigger	Resend
Enforcement	L349-353
Outcome	true
Operation(s)	ResendCertificate
Source	`Services/SAIF.Services/Policies/Certificates/CertificateService.cs` — L349-353*

SVC-BR-POL-030 A holder id of 0 forces holder action Add¶

Field	Value
Statement	A holder id of 0 forces holder action Add
Trigger	Add
Enforcement	CertificateService L212
Outcome	new holder
Operation(s)	Add
Source	`Services/SAIF.Services/Policies/Certificates/CertificateService.cs` — CertificateService L212

SVC-BR-POL-031 Bid certificates get no holder processing¶

Field	Value
Statement	Bid certificates get no holder processing
Trigger	create
Enforcement	L585
Outcome	no holder
Operation(s)	Add/Renew
Source	`Services/SAIF.Services/Policies/Certificates/CertificateService.cs` — L585*

SVC-BR-POL-032 Holder Expire / Supersede go through the domain object; Supersede only when the current holder id ≠ 0¶

Field	Value
Statement	Holder Expire / Supersede go through the domain object; Supersede only when the current holder id ≠ 0
Trigger	holder action
Enforcement	L676-700
Outcome	old holder expired/superseded
Operation(s)	Add/Edit
Source	`Services/SAIF.Services/Policies/Certificates/CertificateService.cs` — L676-700*

SVC-BR-POL-040 Batch print - both statuses DoNotPrint; certificate holder ReadyToPrint if MailToCertificateHolder; stop there on Resend¶

Field	Value
Statement	Batch print: both statuses DoNotPrint; certificate holder ReadyToPrint if MailToCertificateHolder; stop there on Resend
Trigger	save
Enforcement	L556-570
Outcome	status
Operation(s)	Add/Edit/Renew/Resend
Source	`Services/SAIF.Services/Policies/Certificates/CertificateService.cs` — L556-570*

SVC-BR-POL-041 Policyholder copy ReadyToPrint if delivery ≠ None and either (non-renewal and Mail) or (renewal and RenewalNotificationType Copy or Digest)¶

Field	Value
Statement	Policyholder copy ReadyToPrint if delivery ≠ None and either (non-renewal and Mail) or (renewal and RenewalNotificationType Copy or Digest)
Trigger	save
Enforcement	L572-580
Outcome	status
Operation(s)	Add/Edit/Renew/Resend
Source	`Services/SAIF.Services/Policies/Certificates/CertificateService.cs` — L572-580*

SVC-BR-POL-042 Re-image, new issue date/user and distribution point New only if tracked fields changed; otherwise Resend¶

Field	Value
Statement	Re-image, new issue date/user and distribution point New only if tracked fields changed; otherwise Resend
Trigger	Edit
Enforcement	L296-331
Outcome	image or none
Operation(s)	Edit
Source	`Services/SAIF.Services/Policies/Certificates/CertificateService.cs` — L296-331*

SVC-BR-POL-043 Resend resets print status only when mailing to the certificate holder¶

Field	Value
Statement	Resend resets print status only when mailing to the certificate holder
Trigger	Resend
Enforcement	L405
Outcome	update
Operation(s)	Resend
Source	`Services/SAIF.Services/Policies/Certificates/CertificateService.cs` — L405*

SVC-BR-POL-044 Cancellation certificate if the policy or period is in cancellation status¶

Field	Value
Statement	Cancellation certificate if the policy or period is in cancellation status
Trigger	map
Enforcement	L534
Outcome	flag
Operation(s)	Add/Edit
Source	`Services/SAIF.Services/Policies/Certificates/CertificateService.cs` — L534*

SVC-BR-POL-050 View OSC needs CertificatesViewOSC or CertificatesViewOSCExt¶

Field	Value
Statement	View OSC needs CertificatesViewOSC or CertificatesViewOSCExt
Trigger	OSC view
Enforcement	CertificateSecurityService L84-90
Outcome	bool
Operation(s)	CanCurrentUserViewOsc
Source	`Services/SAIF.Services/Policies/Certificates/CertificateSecurityService.cs` — CertificateSecurityService L84-90

SVC-BR-POL-051 OSC policy access: agents only if OSC AgentId or AgentAgencyId equals the external CustomerId; non-agents allowed; needs POL-050¶

Field	Value
Statement	OSC policy access: agents only if OSC AgentId or AgentAgencyId equals the external CustomerId; non-agents allowed; needs POL-050
Trigger	OSC access
Enforcement	L98-110
Outcome	bool
Operation(s)	CanCurrentUserAccess
Source	`Services/SAIF.Services/Policies/Certificates/CertificateSecurityService.cs` — L98-110*

SVC-BR-POL-052 Other coverages editable with CertificatesOtherCoverages or CertificatesOtherCoveragesExt¶

Field	Value
Statement	Other coverages editable with CertificatesOtherCoverages or CertificatesOtherCoveragesExt
Trigger	edit
Enforcement	L183-190
Outcome	bool
Operation(s)	UI
Source	`Services/SAIF.Services/Policies/Certificates/CertificateSecurityService.cs` — L183-190*

SVC-BR-POL-060 Save preference needs CertificatesPreferences, CertificatesPreferencesExt or 'Certs'¶

Field	Value
Statement	Save preference needs CertificatesPreferences, CertificatesPreferencesExt or "Certs"
Trigger	Add/SavePreference
Enforcement	CertificatePreferenceService L158-166
Outcome	"Error: You are not authorized to update preferences"
Operation(s)	Add/SavePreference
Source	`Services/SAIF.Services/Policies/Certificates/CertificatePreferenceService.cs` — CertificatePreferenceService L158-166

SVC-BR-POL-070 SAIF employee = Domain 'SAIF' and not external; all policies except SAIF-secure ones¶

Field	Value
Statement	SAIF employee = Domain "SAIF" and not external; all policies except SAIF-secure ones
Trigger	policy access
Enforcement	PolicySecurityService L336-341, 272-279
Outcome	bool
Operation(s)	IsValidPolicy*
Source	`Services/SAIF.Services/Policies/SecurityServices/PolicySecurityService.cs` — PolicySecurityService L336-341, 272-279

SVC-BR-POL-071 Policy with SecurePolicyCode 'SAIF' needs 'SAIFPolicyInfo' (employees, MCO, MedProvider)¶

Field	Value
Statement	Policy with SecurePolicyCode "SAIF" needs "SAIFPolicyInfo" (employees, MCO, MedProvider)
Trigger	policy access
Enforcement	L233-238, 272
Outcome	bool
Operation(s)	IsValidPolicy*
Source	`Services/SAIF.Services/Policies/SecurityServices/PolicySecurityService.cs` — L233-238, 272*

SVC-BR-POL-072 Agent (external + AgencyExternal / ARPAgencyExternal / ProducerExternal). Producer (ProducerExternal and CustomerGroupId ≠ CustomerId): policy's AgentId = CustomerId and agency = group. Agency: policy's agency = group = CustomerId. List form uses the producer book or the agency book (active producers, not expired)¶

Field	Value
Statement	Agent (external + AgencyExternal / ARPAgencyExternal / ProducerExternal). Producer (ProducerExternal and CustomerGroupId ≠ CustomerId): policy's AgentId = CustomerId and agency = group. Agency: policy's agency = group = CustomerId. List form uses the producer book or the agency book (active producers, not expired)
Trigger	policy access
Enforcement	L143-155, 214-230, 375-385
Outcome	bool/filter
Operation(s)	IsValidPolicy*
Source	`Services/SAIF.Services/Policies/SecurityServices/PolicySecurityService.cs` — L143-155, 214-230, 375-385*

SVC-BR-POL-073 Policyholder (external + ClaimProfileExternalPolicyholder): CustomerId = policy number, or policy is in the user's association list (parent or self)¶

Field	Value
Statement	Policyholder (external + ClaimProfileExternalPolicyholder): CustomerId = policy number, or policy is in the user's association list (parent or self)
Trigger	policy access
Enforcement	L136-141, 257-266, 413-420
Outcome	bool/filter
Operation(s)	IsValidPolicy*
Source	`Services/SAIF.Services/Policies/SecurityServices/PolicySecurityService.cs` — L136-141, 257-266, 413-420*

SVC-BR-POL-074 MCO (external + 'MCO') → SAIF-secure rule¶

Field	Value
Statement	MCO (external + "MCO") → SAIF-secure rule
Trigger	policy access
Enforcement	L390-396
Outcome	bool/filter
Operation(s)	IsValidPolicy*
Source	`Services/SAIF.Services/Policies/SecurityServices/PolicySecurityService.cs` — L390-396*

SVC-BR-POL-075 Medical provider (external + MedicalProvidersExternal) → SAIF-secure rule¶

Field	Value
Statement	Medical provider (external + MedicalProvidersExternal) → SAIF-secure rule
Trigger	policy access
Enforcement	L402-408
Outcome	bool/filter
Operation(s)	IsValidPolicy*
Source	`Services/SAIF.Services/Policies/SecurityServices/PolicySecurityService.cs` — L402-408*

SVC-BR-POL-076 List validation - any other user type gets an empty result¶

Field	Value
Statement	List validation: any other user type gets an empty result
Trigger	list
Enforcement	L105-130
Outcome	filter
Operation(s)	GetPolicy etc.
Source	`Services/SAIF.Services/Policies/SecurityServices/PolicySecurityService.cs` — L105-130*

SVC-BR-POL-080 Payroll report id invalid if the report is null or ReportId = 0¶

Field	Value
Statement	Payroll report id invalid if the report is null or ReportId = 0
Trigger	GetPayrollReport
Enforcement	PolicyDocumentsApiService L223-233
Outcome	InvalidReportId, empty PDF
Operation(s)	GetPayrollReport
Source	`Services/SAIF.Services/Policies/PolicyDocumentsApi/PolicyDocumentsApiService.cs` — PolicyDocumentsApiService L223-233

SVC-BR-POL-081 Null docs → UnknownError; no docs → HistoricalReportNotFound; any not released → ReportNotReleased¶

Field	Value
Statement	Null docs → UnknownError; no docs → HistoricalReportNotFound; any not released → ReportNotReleased
Trigger	GetPayrollReport
Enforcement	L240-257
Outcome	empty PDF
Operation(s)	GetPayrollReport
Source	`Services/SAIF.Services/Policies/PolicyDocumentsApi/PolicyDocumentsApiService.cs` — L240-257*

SVC-BR-POL-082 Policyholder can view documents unless PolicyStatusGroup = 'APP'¶

Field	Value
Statement	Policyholder can view documents unless PolicyStatusGroup = "APP"
Trigger	view
Enforcement	L106-109
Outcome	bool
Operation(s)	AreDocumentsViewableToPolicyholder
Source	`Services/SAIF.Services/Policies/PolicyDocumentsApi/PolicyDocumentsApiService.cs` — L106-109*

SVC-BR-POL-083 API access if PolicyPayrollReportExternal, PolInfoMntUpdtExt or Domain 'SAIF'¶

Field	Value
Statement	API access if PolicyPayrollReportExternal, PolInfoMntUpdtExt or Domain "SAIF"
Trigger	API
Enforcement	L150-189
Outcome	bool
Operation(s)	HasValidCurrentUserAccess
Source	`Services/SAIF.Services/Policies/PolicyDocumentsApi/PolicyDocumentsApiService.cs` — L150-189*

SVC-BR-POL-084 A single validated association is shown as none; applications are excluded¶

Field	Value
Statement	A single validated association is shown as none; applications are excluded
Trigger	GetPolicy
Enforcement	PolicyDocumentsService L156-160
Outcome	empty list
Operation(s)	GetPolicy
Source	`Services/SAIF.Services/OutputDocuments/PolicyDocumentsService.cs` — PolicyDocumentsService L156-160

SVC-BR-POL-085 Demo users see masked names ('Policyholder', 'Policyholder Legal Name', 'SAIF Appointed Agent')¶

Field	Value
Statement	Demo users see masked names ("Policyholder", "Policyholder Legal Name", "SAIF Appointed Agent")
Trigger	read
Enforcement	L168-180, 278-282
Outcome	masked
Operation(s)	GetPolicy, GetDocumentsForAgency
Source	`Services/SAIF.Services/OutputDocuments/PolicyDocumentsService.cs` — L168-180, 278-282*

SVC-BR-POL-086 Inbox release cutoff = system date − DaysBack¶

Field	Value
Statement	Inbox release cutoff = system date − DaysBack
Trigger	inbox
Enforcement	L268-269
Outcome	filter
Operation(s)	GetDocumentsForAgency
Source	`Services/SAIF.Services/OutputDocuments/PolicyDocumentsService.cs` — L268-269*

SVC-BR-POL-087 LEASE → 'Client of - #'; WRAP → 'Subcontractor of - #' description prefix¶

Field	Value
Statement	LEASE → "Client of: #"; WRAP → "Subcontractor of: #" description prefix
Trigger	inbox
Enforcement	L291-301
Outcome	text
Operation(s)	GetDocumentsForAgency
Source	`Services/SAIF.Services/OutputDocuments/PolicyDocumentsService.cs` — L291-301*

SVC-BR-POL-088 Optimistic concurrency - UpdateNumber must match¶

Field	Value
Statement	Optimistic concurrency: UpdateNumber must match
Trigger	Delete/Replace
Enforcement	L347-348, 400-404
Outcome	"Error: Document updated by another user."
Operation(s)	Delete, Replace
Source	`Services/SAIF.Services/OutputDocuments/PolicyDocumentsService.cs` — L347-348, 400-404*

SVC-BR-POL-089 Hold toggles Held/Pending; no change at all → "There are no document holds to save."¶

Field	Value
Statement	Hold toggles Held/Pending; no change at all → "There are no document holds to save."
Trigger	hold
Enforcement	L356-387
Outcome	exception
Operation(s)	HoldDocuments
Source	`Services/SAIF.Services/OutputDocuments/PolicyDocumentsService.cs` — L356-387*

SVC-BR-POL-090 Packet requires a released document: "{id} document is not released"; include child documents when the policy is its own relationship parent¶

Field	Value
Statement	Packet requires a released document: "{id} document is not released"; include child documents when the policy is its own relationship parent
Trigger	packet
Enforcement	L482-499
Outcome	exception
Operation(s)	GetDocumentsForPacket
Source	`Services/SAIF.Services/OutputDocuments/PolicyDocumentsService.cs` — L482-499*

SVC-BR-POL-091 Release pending documents with DocumentDate ≤ document system date¶

Field	Value
Statement	Release pending documents with DocumentDate ≤ document system date
Trigger	batch
Enforcement	PolicyDocumentsBatchService L76-104
Outcome	Released
Operation(s)	ReleaseDocuments
Source	`Services/SAIF.Services/OutputDocuments/PolicyDocumentsBatchService.cs` — PolicyDocumentsBatchService L76-104

SVC-BR-POL-092 Direct-writer notifications only if SAIF agency IsPaperlessForPolicyHolderCopyOfDocuments¶

Field	Value
Statement	Direct-writer notifications only if SAIF agency IsPaperlessForPolicyHolderCopyOfDocuments
Trigger	batch
Enforcement	L251-257
Outcome	tasks
Operation(s)	ReleaseDocuments
Source	`Services/SAIF.Services/OutputDocuments/PolicyDocumentsBatchService.cs` — L251-257*

SVC-BR-POL-093 reportOnly means rollback and no emails/updates¶

Field	Value
Statement	reportOnly means rollback and no emails/updates
Trigger	batch
Enforcement	L97-100, 283
Outcome	dry run
Operation(s)	Release / RevertUserless / notifications
Source	`Services/SAIF.Services/OutputDocuments/PolicyDocumentsBatchService.cs` — L97-100, 283*

SVC-BR-POL-094 Policy context: the policy must exist, the user must pass PolicySecurity, and the status group must not be "APP"¶

Field	Value
Statement	Policy context: the policy must exist, the user must pass PolicySecurity, and the status group must not be "APP"
Trigger	view doc
Enforcement	ContextValidator L22-31; ViewDocumentService L60-65
Outcome	exceptions / "You are not authorized to view this document."
Operation(s)	GetImageFile
Source	`Services/SAIF.Services/OutputDocuments/ContextValidator.cs` — ContextValidator L22-31; ViewDocumentService L60-65

SVC-BR-POL-100 Service plan policy must exist - 'Error - The PolicyNumber '{n}' is not valid'¶

Field	Value
Statement	Service plan policy must exist: "Error: The PolicyNumber '{n}' is not valid"
Trigger	RCT CSV
Enforcement	RctServicePlanService L77-88
Outcome	error count
Operation(s)	ProcessAllServicePlans
Source	`Services/SAIF.Services/Rct/RctServicePlanService.cs` — RctServicePlanService L77-88

SVC-BR-POL-101 Service plan code must exist in RctServicePlanCode or be "na" (removal): "Error: The ServicePlanCode '{c}' is not valid"¶

Field	Value
Statement	Service plan code must exist in RctServicePlanCode or be "na" (removal): "Error: The ServicePlanCode '{c}' is not valid"
Trigger	RCT CSV
Enforcement	L92-104
Outcome	error count
Operation(s)	ProcessAllServicePlans
Source	`Services/SAIF.Services/Rct/RctServicePlanService.cs` — L92-104*

SVC-BR-POL-102 A per-row processing failure rolls back the whole batch¶

Field	Value
Statement	A per-row processing failure rolls back the whole batch
Trigger	RCT CSV
Enforcement	L108-122
Outcome	rollback
Operation(s)	ProcessAllServicePlans
Source	`Services/SAIF.Services/Rct/RctServicePlanService.cs` — L108-122*

Collections¶

SVC-BR-COL-001 Case type from code - WRKR=Claim; FOTH=ClaimOther; THRD/CTHRD=ThirdParty; POL/CPOL/FPOL and anything else=Policy¶

Field	Value
Statement	Case type from code: WRKR=Claim; FOTH=ClaimOther; THRD/CTHRD=ThirdParty; POL/CPOL/FPOL and anything else=Policy
Trigger	Case read or save
Enforcement	`CollectionsService.GetCaseType`
Outcome	Drives how debtors and addresses are handled
Operation(s)	GetCase*, GenerateDebtors, GetDebtorContactInfo
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — `CollectionsService.GetCaseType`

SVC-BR-COL-002 A 7 or 8 character reference is shortened to 7 characters¶

Field	Value
Statement	A 7 or 8 character reference is shortened to 7 characters
Trigger	Reference search
Enforcement	GetCasesByReference
Outcome	Check character removed (inferred)
Operation(s)	GetCasesByReference
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — GetCasesByReference*

SVC-BR-COL-003 Debtor name and SSN fall back to the worker API when the database value is blank¶

Field	Value
Statement	Debtor name and SSN fall back to the worker API when the database value is blank
Trigger	Debtor read
Enforcement	GetDebtorName/GetDebtorSsn
Outcome	Name or TaxID comes from WorkerData
Operation(s)	GetDebtor(s)
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — GetDebtorName/GetDebtorSsn*

SVC-BR-COL-004 For POL/FPOL, debtor LocID defaults to the policy "POL" mailing location. A non-active location shows "-- Invalid address --"¶

Field	Value
Statement	For POL/FPOL, debtor LocID defaults to the policy "POL" mailing location. A non-active location shows "-- Invalid address --"
Trigger	Debtor read
Enforcement	GetAdditionalDebtorData
Outcome	Address shown
Operation(s)	GetDebtor(s)
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — GetAdditionalDebtorData*

SVC-BR-COL-005 SSN is masked to xxx-xx-#### unless the user has LegalColUpdate¶

Field	Value
Statement	SSN is masked to `xxx-xx-####` unless the user has LegalColUpdate
Trigger	GetDebtors
Enforcement	IsUpdateUser
Outcome	Masked SSN
Operation(s)	GetDebtors
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — IsUpdateUser*

SVC-BR-COL-006 When a statement is not held (or is released), LastStatementDate = first of the month and the balance comes from DebtorLastStatementBalance(date-1)¶

Field	Value
Statement	When a statement is not held (or is released), LastStatementDate = first of the month and the balance comes from `DebtorLastStatementBalance(date-1)`
Trigger	Create or save debtor
Enforcement	CreateDebtor/SaveDebtor/UpdateDebtors
Outcome	Statement baseline set
Operation(s)	GetDebtors
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — CreateDebtor/SaveDebtor/UpdateDebtors*

SVC-BR-COL-007 For POL/FPOL, choosing the default mailing location stores LocID as null¶

Field	Value
Statement	For POL/FPOL, choosing the default mailing location stores LocID as null
Trigger	UpdateDebtors
Enforcement	UpdateDebtors
Outcome	Null LocID
Operation(s)	UpdateDebtors
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — UpdateDebtors*

SVC-BR-COL-008 A note can be edited until 2 working days after it was created¶

Field	Value
Statement	A note can be edited until 2 working days after it was created
Trigger	Note read
Enforcement	GetNotes/GetNote
Outcome	CanEdit flag
Operation(s)	Notes
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — GetNotes/GetNote*

SVC-BR-COL-009 Appended note text gets a 'ADDED date by USER' annotation¶

Field	Value
Statement	Appended note text gets a "ADDED date by USER" annotation
Trigger	SaveNote
Enforcement	SaveNote
Outcome	Text appended
Operation(s)	SaveNote
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — SaveNote*

SVC-BR-COL-010 Optimistic concurrency on UpdateNum - 'Error - This record has been updated by someone else.'¶

Field	Value
Statement	Optimistic concurrency on UpdateNum: "Error: This record has been updated by someone else."
Trigger	Save request or transaction
Enforcement	SaveRequest/SaveTransaction
Outcome	Rejected
Operation(s)	SaveNote
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — SaveRequest/SaveTransaction*

SVC-BR-COL-011 County C7 means state WA, otherwise OR. County list = OR plus synthetic C7¶

Field	Value
Statement	County C7 means state WA, otherwise OR. County list = OR plus synthetic C7
Trigger	SaveRequest
Enforcement	SaveRequest/GetCountyCodes
Outcome	State set
Operation(s)	SaveNote
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — SaveRequest/GetCountyCodes*

SVC-BR-COL-012 New Claim case - one debtor linked to the claim worker¶

Field	Value
Statement	New Claim case: one debtor linked to the claim worker
Trigger	New case
Enforcement	GenerateClaimDebtor
Outcome	Debtor created
Operation(s)	SaveRequest
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — GenerateClaimDebtor*

SVC-BR-COL-013 New CPOL case: one generic debtor. Other policy codes: one debtor per active type "1" business affiliate¶

Field	Value
Statement	New CPOL case: one generic debtor. Other policy codes: one debtor per active type "1" business affiliate
Trigger	New case
Enforcement	GeneratePolicyDebtor
Outcome	Debtors created
Operation(s)	SaveRequest
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — GeneratePolicyDebtor*

SVC-BR-COL-014 THRD - third parties that have a Person. CTHRD - third parties with no Person¶

Field	Value
Statement	THRD: third parties that have a Person. CTHRD: third parties with no Person
Trigger	New case
Enforcement	GenerateThirdPartyDebtor
Outcome	Debtors created
Operation(s)	SaveRequest
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — GenerateThirdPartyDebtor*

SVC-BR-COL-015 FOTH cases get no automatic debtors. Generated debtors are held and not on SOIL¶

Field	Value
Statement	FOTH cases get no automatic debtors. Generated debtors are held and not on SOIL
Trigger	New case
Enforcement	GenerateDebtors
Outcome	—
Operation(s)	SaveRequest
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — GenerateDebtors*

SVC-BR-COL-016 Search wildcards: StartsWith → x%, otherwise %x%. A missing first or last name becomes %¶

Field	Value
Statement	Search wildcards: StartsWith → `x%`, otherwise `%x%`. A missing first or last name becomes `%`
Trigger	Search
Enforcement	GetSearchCriteria
Outcome	Search pattern
Operation(s)	GetSearchResults
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — GetSearchCriteria*

SVC-BR-COL-017 Search results limited to 300¶

Field	Value
Statement	Search results limited to 300
Trigger	Search
Enforcement	GetSearchResults
Outcome	Truncated
Operation(s)	GetSearchResults
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — GetSearchResults*

SVC-BR-COL-018 Manual collection tasks - TaskUser 'SYSTEM', COLL/COLL/NONE/MED. Context is the policy or the claim¶

Field	Value
Statement	Manual collection tasks: TaskUser "SYSTEM", COLL/COLL/NONE/MED. Context is the policy or the claim
Trigger	CreateTask
Enforcement	CreateTask
Outcome	Task created
Operation(s)	CreateTask
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — CreateTask*

SVC-BR-COL-019 Task list - source COLL, not deleted, first 300 by date descending¶

Field	Value
Statement	Task list: source COLL, not deleted, first 300 by date descending
Trigger	GetTasks
Enforcement	GetTasks
Outcome	—
Operation(s)	GetTasks, GetTasksForPdf
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — GetTasks*

SVC-BR-COL-020 A transaction can't be edited if it is on or before the last statement, has a PaymentRef, has PayDownOrder 0, or is system generated¶

Field	Value
Statement	A transaction can't be edited if it is on or before the last statement, has a PaymentRef, has PayDownOrder 0, or is system generated
Trigger	GetTransactions
Enforcement	GetTransactions
Outcome	CanEdit=false
Operation(s)	GetTransactions
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — GetTransactions*

SVC-BR-COL-021 Inserting a transaction with PayDownOrder 0 (payment) lowers the balance; any other category raises it¶

Field	Value
Statement	Inserting a transaction with PayDownOrder 0 (payment) lowers the balance; any other category raises it
Trigger	InsertTransaction
Enforcement	InsertTransaction
Outcome	Balance changed
Operation(s)	InsertTransaction
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — InsertTransaction*

SVC-BR-COL-022 After an insert, CollectionsRepo.ApplyPayments(caseId, date) runs¶

Field	Value
Statement	After an insert, `CollectionsRepo.ApplyPayments(caseId, date)` runs
Trigger	Insert or cash batch
Enforcement	InsertTransaction, ProcessBatch
Outcome	Outstanding amounts re-applied
Operation(s)	InsertTransaction
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — InsertTransaction, ProcessBatch*

SVC-BR-COL-023 ApprovedByUser is cleared when the code doesn't require approval¶

Field	Value
Statement	ApprovedByUser is cleared when the code doesn't require approval
Trigger	Save or insert
Enforcement	Save/InsertTransaction
Outcome	—
Operation(s)	InsertTransaction
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — Save/InsertTransaction*

SVC-BR-COL-024 Interest allowed only when PayDownOrder ≠ 0¶

Field	Value
Statement	Interest allowed only when PayDownOrder ≠ 0
Trigger	Codes lookup
Enforcement	GetTransactionCodes
Outcome	Flag
Operation(s)	—
Source	`Services/SAIF.Services/Collections/CollectionsService.cs` — GetTransactionCodes*

SVC-BR-COL-025 Activity: "Error: Activity date must be greater than 01/01/1982 and no more than 7 days in the future." (exclusive between 1982-01-01 and Today+7)¶

Field	Value
Statement	Activity: "Error: Activity date must be greater than 01/01/1982 and no more than 7 days in the future." (exclusive between 1982-01-01 and Today+7)
Trigger	Validate
Enforcement	ActivityValidator
Outcome	Error
Operation(s)	SaveRequest
Source	`Services/SAIF.Services/Collections/Validators/ActivityValidator.cs` — ActivityValidator

SVC-BR-COL-026 'Error - Activity type is required.'¶

Field	Value
Statement	"Error: Activity type is required."
Trigger	Validate
Enforcement	ActivityValidator
Outcome	Error
Operation(s)	SaveRequest
Source	`Services/SAIF.Services/Collections/Validators/ActivityValidator.cs` — ActivityValidator

SVC-BR-COL-027 'Error - Activity amount must be between zero and one million.' (exclusive)¶

Field	Value
Statement	"Error: Activity amount must be between zero and one million." (exclusive)
Trigger	Validate
Enforcement	ActivityValidator
Outcome	Error
Operation(s)	SaveRequest
Source	`Services/SAIF.Services/Collections/Validators/ActivityValidator.cs` — ActivityValidator

SVC-BR-COL-028 Task - 'Error - A valid case number is required.' (case must exist)¶

Field	Value
Statement	Task: "Error: A valid case number is required." (case must exist)
Trigger	Validate
Enforcement	CollectionTaskValidator
Outcome	Error
Operation(s)	Create/SaveTask
Source	`Services/SAIF.Services/Collections/Validators/CollectionTaskValidator.cs` — CollectionTaskValidator

SVC-BR-COL-029 "Error: Due date must be between today and one year in the future." (inclusive), plus base TaskValidator rules (SVC-BR-MSC-060/061)¶

Field	Value
Statement	"Error: Due date must be between today and one year in the future." (inclusive), plus base TaskValidator rules (SVC-BR-MSC-060/061)
Trigger	Validate
Enforcement	CollectionTaskValidator
Outcome	Error
Operation(s)	Create/SaveTask
Source	`Services/SAIF.Services/Collections/Validators/CollectionTaskValidator.cs` — CollectionTaskValidator

SVC-BR-COL-030 "Error: First name is required." / "Error: Last name is required." when there is no Case or the case is FOTH¶

Field	Value
Statement	"Error: First name is required." / "Error: Last name is required." when there is no Case or the case is FOTH
Trigger	Validate
Enforcement	DebtorValidator
Outcome	Error
Operation(s)	Create/Save/UpdateDebtor(s)
Source	`Services/SAIF.Services/Collections/Validators/DebtorValidator.cs` — DebtorValidator

SVC-BR-COL-031 'Error - A valid SSN is required when including on SOIL.' (11 characters when IsIncludedOnSoil)¶

Field	Value
Statement	"Error: A valid SSN is required when including on SOIL." (11 characters when IsIncludedOnSoil)
Trigger	Validate
Enforcement	DebtorValidator
Outcome	Error
Operation(s)	Create/Save/UpdateDebtor(s)
Source	`Services/SAIF.Services/Collections/Validators/DebtorValidator.cs` — DebtorValidator

SVC-BR-COL-032 Length limits: first name 20 ("Error: First name cannot be more than 20 characters."), last name 25, middle initial 1, suffix 3 (matching messages)¶

Field	Value
Statement	Length limits: first name 20 ("Error: First name cannot be more than 20 characters."), last name 25, middle initial 1, suffix 3 (matching messages)
Trigger	Validate
Enforcement	DebtorValidator
Outcome	Error
Operation(s)	Create/Save/UpdateDebtor(s)
Source	`Services/SAIF.Services/Collections/Validators/DebtorValidator.cs` — DebtorValidator

SVC-BR-COL-033 Note - 'Error - Text is required.' (NoteText not null)¶

Field	Value
Statement	Note: "Error: Text is required." (NoteText not null)
Trigger	Validate
Enforcement	NoteValidator
Outcome	Error
Operation(s)	Create/SaveNote
Source	`Services/SAIF.Services/Collections/Validators/NoteValidator.cs` — NoteValidator

SVC-BR-COL-034 "Error: Text must be greater than three characters and no more than 4000." (4–4000 when AppendText is null)¶

Field	Value
Statement	"Error: Text must be greater than three characters and no more than 4000." (4–4000 when AppendText is null)
Trigger	Validate
Enforcement	NoteValidator
Outcome	Error
Operation(s)	Create/SaveNote
Source	`Services/SAIF.Services/Collections/Validators/NoteValidator.cs` — NoteValidator

SVC-BR-COL-035 AppendText required when CanEdit is false - 'Error - Text is required.'¶

Field	Value
Statement	AppendText required when CanEdit is false: "Error: Text is required."
Trigger	Validate
Enforcement	NoteValidator
Outcome	Error
Operation(s)	SaveNote
Source	`Services/SAIF.Services/Collections/Validators/NoteValidator.cs` — NoteValidator

SVC-BR-COL-036 'Error - Combined text may not be more than 4000 characters.'¶

Field	Value
Statement	"Error: Combined text may not be more than 4000 characters."
Trigger	Validate
Enforcement	NoteValidator
Outcome	Error
Operation(s)	SaveNote
Source	`Services/SAIF.Services/Collections/Validators/NoteValidator.cs` — NoteValidator

SVC-BR-COL-037 Request: "Error: Collection type is required.", "Error: Case status is required.", "Error: County is required.", "Error: Credit representative is required.", "Error: Judgment Years is required.", "Error: Interest Rate is required."¶

Field	Value
Statement	Request: "Error: Collection type is required.", "Error: Case status is required.", "Error: County is required.", "Error: Credit representative is required.", "Error: Judgment Years is required.", "Error: Interest Rate is required."
Trigger	Validate
Enforcement	RequestValidator
Outcome	Error
Operation(s)	SaveRequest
Source	`Services/SAIF.Services/Collections/Validators/RequestValidator.cs` — RequestValidator

SVC-BR-COL-038 "Error: A valid policy number is required." (codes containing POL, checked with ValidateContext); "Error: A valid claim number is required." (other codes)¶

Field	Value
Statement	"Error: A valid policy number is required." (codes containing POL, checked with ValidateContext); "Error: A valid claim number is required." (other codes)
Trigger	Validate
Enforcement	RequestValidator
Outcome	Error
Operation(s)	SaveRequest
Source	`Services/SAIF.Services/Collections/Validators/RequestValidator.cs` — RequestValidator

SVC-BR-COL-039 "Error: Request date must be greater than 1/1/1982 and no more than 7 days in the future." (the code actually uses 1980-01-01)¶

Field	Value
Statement	"Error: Request date must be greater than 1/1/1982 and no more than 7 days in the future." (the code actually uses 1980-01-01)
Trigger	Validate
Enforcement	RequestValidator
Outcome	Error
Operation(s)	SaveRequest
Source	`Services/SAIF.Services/Collections/Validators/RequestValidator.cs` — RequestValidator

SVC-BR-COL-039a Transaction - "Date can only be after the last statement date and up to 7 days in the future." (when CanEdit; if there's no statement, after 1980-01-01); "Transaction type is required."; "Approved by name required for selected type."; "Reference # may be up to 30 characters in length."; "Transaction amount must be between zero and one million."¶

Field	Value
Statement	Transaction: "Date can only be after the last statement date and up to 7 days in the future." (when CanEdit; if there's no statement, after 1980-01-01); "Transaction type is required."; "Approved by name required for selected type."; "Reference # may be up to 30 characters in length."; "Transaction amount must be between zero and one million."
Trigger	Validate
Enforcement	TransactionValidator
Outcome	Error
Operation(s)	Save/InsertTransaction
Source	`Services/SAIF.Services/Collections/Validators/TransactionValidator.cs` — TransactionValidator

SVC-BR-COL-040 No unbalanced batches for the run date → report only, return code 6¶

Field	Value
Statement	No unbalanced batches for the run date → report only, return code 6
Trigger	Cash receipts batch
Enforcement	ApplyCashReceipts
Outcome	RC 6
Operation(s)	ApplyCashReceipts
Source	`Services/SAIF.Services/Collections/Validators/TransactionValidator.cs` — ApplyCashReceipts*

SVC-BR-COL-041 Any batch that doesn't balance → return code 5¶

Field	Value
Statement	Any batch that doesn't balance → return code 5
Trigger	Cash receipts batch
Enforcement	ApplyCashReceipts
Outcome	RC 5
Operation(s)	ApplyCashReceipts
Source	`Services/SAIF.Services/Collections/Validators/TransactionValidator.cs` — ApplyCashReceipts*

SVC-BR-COL-042 A batch must match BatchCount and BatchAmount, or its postings are rolled back¶

Field	Value
Statement	A batch must match BatchCount and BatchAmount, or its postings are rolled back
Trigger	ProcessBatch
Enforcement	ProcessBatch
Outcome	Rollback
Operation(s)	ApplyCashReceipts
Source	`Services/SAIF.Services/Collections/Validators/TransactionValidator.cs` — ProcessBatch*

SVC-BR-COL-043 Each receipt creates a system "Payment" transaction (user LCB0009), lowers the balance and is marked processed Y. The batch is marked balanced Y¶

Field	Value
Statement	Each receipt creates a system "Payment" transaction (user LCB0009), lowers the balance and is marked processed Y. The batch is marked balanced Y
Trigger	ProcessBatch
Enforcement	ProcessBatch
Outcome	Posted
Operation(s)	ApplyCashReceipts
Source	`Services/SAIF.Services/Collections/Validators/TransactionValidator.cs` — ProcessBatch*

SVC-BR-COL-044 Report groups - fraud (WRKR/FPOL/FOTH) and third party (THRD/CTHRD)¶

Field	Value
Statement	Report groups: fraud (WRKR/FPOL/FOTH) and third party (THRD/CTHRD)
Trigger	Report
Enforcement	GenerateReport
Outcome	PDF LCB0009
Operation(s)	ApplyCashReceipts
Source	`Services/SAIF.Services/Collections/Validators/TransactionValidator.cs` — GenerateReport*

SVC-BR-COL-045 Interest = amount returned by GetInterest. It's added to the balance as an INT system transaction ref "LCB00003" dated runDate¶

Field	Value
Statement	Interest = amount returned by `GetInterest`. It's added to the balance as an INT system transaction ref "LCB00003" dated runDate
Trigger	Interest batch
Enforcement	CalculateInterest
Outcome	Balance increased
Operation(s)	CalculateInterest
Source	`Services/SAIF.Services/Collections/Validators/TransactionValidator.cs` — CalculateInterest*

SVC-BR-COL-046 Interest report (PDF LCB0003) is always emailed, including in report-only mode, before posting¶

Field	Value
Statement	Interest report (PDF LCB0003) is always emailed, including in report-only mode, before posting
Trigger	Interest batch
Enforcement	SendReport
Outcome	Email
Operation(s)	CalculateInterest
Source	`Services/SAIF.Services/Collections/Validators/TransactionValidator.cs` — SendReport*

SVC-BR-COL-050 to 056 Task generation rules (see 1.4)¶

Field	Value
Statement	Task generation rules (see 1.4)
Trigger	Batch
Enforcement	GenerateTasksService
Outcome	Tasks created
Operation(s)	BatchTasks
Source	`Services/SAIF.Services/Collections/GenerateTasksService.cs` — GenerateTasksService

SVC-BR-COL-060 to 064 SOIL rules (see 1.5)¶

Field	Value
Statement	SOIL rules (see 1.5)
Trigger	Batch
Enforcement	SoilService
Outcome	Files and tables
Operation(s)	SOIL operations
Source	`Services/SAIF.Services/Collections/SoilService.cs` — SoilService

Documents¶

SVC-BR-DOC-001 Template must exist - 'Error - Template does not exist.'¶

Field	Value
Statement	Template must exist: "Error: Template does not exist."
Trigger	submit
Enforcement	DocumentRequestService L591
Outcome	exception
Operation(s)	SubmitDocumentRequest
Source	`Services/SAIF.Services/Documents/DocumentRequestService.cs` — DocumentRequestService L591

SVC-BR-DOC-002 Request status must exist in DocRequestLogStatusCode - 'This request status is invalid - {s}.'¶

Field	Value
Statement	Request status must exist in DocRequestLogStatusCode: "This request status is invalid - {s}."
Trigger	update
Enforcement	L558-561
Outcome	exception
Operation(s)	UpdateRequestStatus
Source	`Services/SAIF.Services/Documents/DocumentRequestService.cs` — L558-561*

SVC-BR-DOC-003 Request must exist - 'This document request does not exist[ - id].'¶

Field	Value
Statement	Request must exist: "This document request does not exist[ - id]."
Trigger	update
Enforcement	L543, 570
Outcome	exception
Operation(s)	SetRequestAsComplete, UpdateRequestStatus
Source	`Services/SAIF.Services/Documents/DocumentRequestService.cs` — L543, 570*

SVC-BR-DOC-004 Distribution log must exist - 'This document distribution does not exist - {id}.'¶

Field	Value
Statement	Distribution log must exist: "This document distribution does not exist - {id}."
Trigger	update
Enforcement	L335, 354, 368
Outcome	exception
Operation(s)	UpdateStatus / UpdateXml / UpdateCompleted
Source	`Services/SAIF.Services/Documents/DocumentRequestService.cs` — L335, 354, 368*

SVC-BR-DOC-010 A VOC coordinator is needed when a request parameter has DataType 'SELECTVOC'¶

Field	Value
Statement	A VOC coordinator is needed when a request parameter has DataType "SELECTVOC"
Trigger	param
Enforcement	DocumentParameterService L221-223
Outcome	bool
Operation(s)	NeedVocCoordinators
Source	`Services/SAIF.Services/Documents/DocumentParameterService.cs` — DocumentParameterService L221-223

SVC-BR-DOC-020 Users with DocCenterDevAdmin or DocCenterProdAdmin see all templates; others get a filtered set¶

Field	Value
Statement	Users with DocCenterDevAdmin or DocCenterProdAdmin see all templates; others get a filtered set
Trigger	search
Enforcement	TemplateSearchService L58-66
Outcome	filter
Operation(s)	template searches
Source	`Services/SAIF.Services/Documents/TemplateSearchService.cs` — TemplateSearchService L58-66

SVC-BR-DOC-021 Template must exist - 'That document template does not exist.'¶

Field	Value
Statement	Template must exist: "That document template does not exist."
Trigger	delete/disable/sql
Enforcement	L899, 919, 951
Outcome	exception
Operation(s)	Delete/Disable/GetDocumentSqlLines
Source	`Services/SAIF.Services/Documents/TemplateSearchService.cs` — L899, 919, 951*

SVC-BR-DOC-022 Create/Update template validation - the first error message is thrown¶

Field	Value
Statement	Create/Update template validation: the first error message is thrown
Trigger	save
Enforcement	L353-355, 706-708
Outcome	Exception
Operation(s)	Create/UpdateTemplate
Source	`Services/SAIF.Services/Documents/TemplateSearchService.cs` — L353-355, 706-708*

Miscellaneous¶

SVC-BR-MSC-001 Demo users see producer and agent names as 'Producer'¶

Field	Value
Statement	Demo users see producer and agent names as "Producer"
Trigger	GetAgency
Enforcement	AgencyService.GetAgency
Outcome	Masked
Operation(s)	GetAgency and callers
Source	`Services/SAIF.Services/Agencies/AgencyService.cs` — AgencyService.GetAgency

SVC-BR-MSC-002 Search result ordering¶

Field	Value
Statement	Search result ordering
Trigger	Search
Enforcement	GetAgencySearchResults
Outcome	Sorted, Take(maxHits)
Operation(s)	—
Source	`Services/SAIF.Services/Agencies/AgencyService.cs` — GetAgencySearchResults*

SVC-BR-MSC-003 Paperless agency with no active external users → reverting¶

Field	Value
Statement	Paperless agency with no active external users → reverting
Trigger	Batch (inferred)
Enforcement	GetRevertingAgencies
Outcome	List
Operation(s)	—
Source	`Services/SAIF.Services/Agencies/AgencyService.cs` — GetRevertingAgencies*

SVC-BR-MSC-004 In production, test users and production test users don't count as active¶

Field	Value
Statement	In production, test users and production test users don't count as active
Trigger	Status check
Enforcement	GetAgencyActiveUserStatus
Outcome	Filter
Operation(s)	GetRevertingAgencies
Source	`Services/SAIF.Services/Agencies/AgencyService.cs` — GetAgencyActiveUserStatus*

SVC-BR-MSC-005 Notification emails only for opted-in, active, non-deleted users with an email address¶

Field	Value
Statement	Notification emails only for opted-in, active, non-deleted users with an email address
Trigger	Notification
Enforcement	GetEmailListFor*
Outcome	Email list
Operation(s)	—
Source	`Services/SAIF.Services/Agencies/AgencyService.cs` — GetEmailListFor**

SVC-BR-MSC-006 Paperless confirmation: email plus image of the email plus image of the agreement in AGENCY / "AG - ADMINISTRATION"¶

Field	Value
Statement	Paperless confirmation: email plus image of the email plus image of the agreement in AGENCY / "AG - ADMINISTRATION"
Trigger	Confirmation
Enforcement	ProcessConfirmationEmail
Outcome	Docs imaged
Operation(s)	—
Source	`Services/SAIF.Services/Agencies/AgencyService.cs` — ProcessConfirmationEmail*

SVC-BR-MSC-007 Agency image description ≤ 256: "Error: Description may not be more than 256 characters."; "Error: Category is required."; "Error: Type is required."¶

Field	Value
Statement	Agency image description ≤ 256: "Error: Description may not be more than 256 characters."; "Error: Category is required."; "Error: Type is required."
Trigger	EditImage
Enforcement	`Agencies/Imaging/Validators/ImageEditValidator.cs`
Outcome	Error
Operation(s)	EditImage
Source	`Services/SAIF.Services/Agencies/Imaging/Validators/ImageEditValidator.cs` — `Agencies/Imaging/Validators/ImageEditValidator.cs`

SVC-BR-MSC-010 Image security filter - deleted images need AgencyImagingDeleted; SecurityLevel ≠ 0 needs AgencyImagingConfidential¶

Field	Value
Statement	Image security filter: deleted images need AgencyImagingDeleted; SecurityLevel ≠ 0 needs AgencyImagingConfidential
Trigger	Image read
Enforcement	GetImageAgency/GetImageAgencies
Outcome	Hidden
Operation(s)	GetImage(s), EditImage, DeleteImage
Source	`Services/SAIF.Services/Agencies/Imaging/Validators/ImageEditValidator.cs` — GetImageAgency/GetImageAgencies*

SVC-BR-MSC-011 Editing an image needs AgencyImagingEdit¶

Field	Value
Statement	Editing an image needs AgencyImagingEdit
Trigger	EditImage
Enforcement	EditImage
Outcome	Error
Operation(s)	EditImage
Source	`Services/SAIF.Services/Agencies/Imaging/Validators/ImageEditValidator.cs` — EditImage*

SVC-BR-MSC-020 Group image list is filtered by the confidential and deleted roles¶

Field	Value
Statement	Group image list is filtered by the confidential and deleted roles
Trigger	GetImages
Enforcement	ImageService.CreateGroupImageRepositoryFilter, then the repository
Outcome	Hidden
Operation(s)	GetImages
Source	`Services/SAIF.Services/Claims/Imaging/ImageService.cs` — ImageService.CreateGroupImageRepositoryFilter, then the repository*

SVC-BR-MSC-021 'Error - User not authorized to edit images.' (GroupImagingEdit)¶

Field	Value
Statement	"Error: User not authorized to edit images." (GroupImagingEdit)
Trigger	Update
Enforcement	`Groups/Imaging/Validators/ImageEditValidator.cs`
Outcome	Throws
Operation(s)	UpdateImage
Source	`Services/SAIF.Services/Groups/Imaging/Validators/ImageEditValidator.cs` — `Groups/Imaging/Validators/ImageEditValidator.cs`

SVC-BR-MSC-022 'Error - Image could not be found.'¶

Field	Value
Statement	"Error: Image could not be found."
Trigger	Update/Delete
Enforcement	ImageEditValidator, ImageDeleteValidator
Outcome	Throws
Operation(s)	Update/DeleteImage
Source	`Services/SAIF.Services/Groups/Imaging/Validators/ImageEditValidator.cs` — ImageEditValidator, ImageDeleteValidator*

SVC-BR-MSC-023 'Error - Image updated by another user.' (UpdateDate must equal the stored value)¶

Field	Value
Statement	"Error: Image updated by another user." (UpdateDate must equal the stored value)
Trigger	Update
Enforcement	ImageEditValidator
Outcome	Throws
Operation(s)	UpdateImage
Source	`Services/SAIF.Services/Groups/Imaging/Validators/ImageEditValidator.cs` — ImageEditValidator*

SVC-BR-MSC-024 "Error: Description may not be more than {Image.MaxDescriptionLength} characters."; "Error: Category is required."; "Error: Type is required."; "Error: Type not found."; "Error: Group could not be found."¶

Field	Value
Statement	"Error: Description may not be more than {Image.MaxDescriptionLength} characters."; "Error: Category is required."; "Error: Type is required."; "Error: Type not found."; "Error: Group could not be found."
Trigger	Update
Enforcement	ImageEditValidator
Outcome	Throws
Operation(s)	UpdateImage
Source	`Services/SAIF.Services/Groups/Imaging/Validators/ImageEditValidator.cs` — ImageEditValidator*

SVC-BR-MSC-025 Delete doesn't require the edit or delete role (the validator only checks that the image exists)¶

Field	Value
Statement	Delete doesn't require the edit or delete role (the validator only checks that the image exists)
Trigger	Delete
Enforcement	ImageDeleteValidator
Outcome	—
Operation(s)	DeleteImage
Source	`Services/SAIF.Services/Groups/Imaging/Validators/ImageDeleteValidator.cs` — ImageDeleteValidator

Notes¶

Rules whose Statement, Trigger, Enforcement, or Outcome text says "same" in the source analysis have been resolved to the nearest preceding concrete value in this catalog for readability.
Delegated rules referenced by area introductions (DOM-BR-*) are catalogued in the saif-domain library documentation, not duplicated here.

Sources¶

Services/SAIF.Services/