---
title: SQL-015: US_CLAIM_UNIT / US_POLICY_UNIT fraud flag eligibility lookup
summary: US_CLAIM_UNIT / US_POLICY_UNIT fraud flag eligibility lookup used by clsClaimUnit.IsFullyFraudulent.
status: draft
owner: SAIF
last_reviewed: 2026-07-24
library: SAIF.Business.UnitStat
reference_type: package
---

# SQL-015: US_CLAIM_UNIT / US_POLICY_UNIT fraud flag eligibility lookup

This SQL statement implements the `US_CLAIM_UNIT / US_POLICY_UNIT fraud flag eligibility lookup` data-access path for `clsClaimUnit.IsFullyFraudulent` in `SAIF.Business.UnitStat`. It participates in the `read` lifecycle handled by `IsFullyFraudulent getter`.

## Classification

| Field | Value |
| --- | --- |
| **SQL ID** | SQL-015 |
| **Operation type** | Read |
| **Execution method** | Inline |
| **Database** | Oracle |
| **Schema** | [unqualified]** |
| **Command type** | Text |
| **Business object** | `clsClaimUnit.IsFullyFraudulent` |
| **Criteria property** | `N/A (direct scalar SQL)` |
| **Lifecycle method** | `IsFullyFraudulent getter` |

## Parameters

| Parameter | Direction | Type | Max length | Description |
| --- | --- | --- | --- | --- |
| `:FullyFraudulentFlag` | Input | String | 1 | Caller-supplied fraud-conviction flag projected back from the query. |
| `:ClaimId` | Input | Decimal | N/A | Claim identifier bound from criteria. |
| `:NonCompensableStartDate` | Input | Date | N/A | Cutoff date for 2013 non-compensable claim rules. |

## Tables

| Table | Access | Columns used |
| --- | --- | --- |
| [US_CLAIM_UNIT](../database-tables.md#us-claim-unit) | SELECT / JOIN | See sample SQL |
| [US_POLICY_UNIT](../database-tables.md#us-policy-unit) | SELECT / JOIN | See sample SQL |

## Sample SQL

```sql

SELECT :FullyFraudulentFlag

FROM us_claim_unit cu

JOIN us_policy_unit pu

  ON cu.us_policy_unit_seq_num = pu.us_policy_unit_seq_num

 AND pu.active_unit_flag = 'Y'

 AND pu.historical_flag = 'N'

 AND pu.unit_eff_date >= :NonCompensableStartDate

WHERE cu.claim_id = :ClaimId

```

## Operations and processes

- [Denial and fraud eligibility](../operations/denial-fraud-eligibility.md)

## Business rules

- [BR-US-013: Non-compensable rules apply only to policy units effective on or after 2013-01-01](../business-rules.md#br-us-013-non-compensable-rules-apply-only-to-policy-units-effective-on-or-after-2013-01-01)
- [BR-US-027: Denial-final checks and fully-fraudulent checks only apply to policy units effective on or after 2013-01-01](../business-rules.md#br-us-027-denial-final-checks-and-fully-fraudulent-checks-only-apply-to-policy-units-effective-on-or-after-2013-01-01)

> **Note:** Statements marked with `**` could not be confirmed; treat as unknown until verified.

## Sources

- `Business\SAIF.Business.UnitStat\clsClaimUnit.vb`