Key rules for claims status request and response message
This table lists the key rules used in the processing of the X12 276/277 messages.
Pega Foundation for Healthcare
Rule name | Rule type | Function |
Class: PegaHC-EDI-Work-ClaimStatusRequest | ||
ProcessX12N276 | Activity | Main activity to launch processing of 276 message |
Process276Transaction | Collection | Main rule for processing 276 message |
ParseTransaction | Collection | Parse message & prepare 277 response |
ProcessClaimStatus Request | Collection | Maps message to work object and processes claim lookup |
SendResponse | Collection | Generates 277 and sends message |
ParseMessage | Activity | Parses 276 message |
PrepareResponse | Activity | Prepares 277 message shell |
MapMessageToWork Item | Activity | Maps 276 message to work object |
SendMessage | Activity | Place holder to configure 277 message |
ReviewX12 | Activity | Provides side by side comparison of 276 and 277 |
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