SCE request generation
Pega Smart Claims Engine for Healthcare request XML can be generated using the CXT_BuildInboundXML collection present under CE_CXTRequestandResponse collection. The activity shows how history is considered before the actual XML generation. It also shows the location of where the XML file is placed.
The PegaHC-DATA-CXT-TppClaimSet actually refers to the data class which mimics the structure of the request XML.
During the request generation, the CXT_DT_ClaimsData_Regfeed would be the data transform where a user would be able to see the header level mapping. The CXT_DT_GetClaimLineDataforTPPClaimSet_RegFeed would be the data transform which would show the mapping at the line level.
The complex data transforms CXT_DT_ClaimHeaderTppClaimSet_RegFeed, XT_DT_GetClaimLineDataforTPPClaimSet_RegFeed has been divided into multiple DTs:
- CXT_DT_ClaimHeaderTppClaimSet_RegFeed_Adj
- CXT_DT_ClaimHeaderTppClaimSet_RegFeed_Admission
- CXT_DT_ClaimHeaderTppClaimSet_RegFeed_BillingProv
- CXT_DT_ClaimHeaderTppClaimSet_RegFeed_Miscellaneous
- CXT_DT_ClaimHeaderTppClaimSet_RegFeed_Other
- CXT_DT_ClaimHeaderTppClaimSet_RegFeed_Condition
- CXT_DT_ClaimHeaderTppClaimSet_RegFeed_Diag
- CXT_DT_ClaimHeaderTppClaimSet_RegFeed_ECI
- CXT_DT_ClaimHeaderTppClaimSet_RegFeed_ICDCode
- CXT_DT_ClaimHeaderTppClaimSet_RegFeed_Member
- CXT_DT_ClaimHeaderTppClaimSet_RegFeed_Occurence
- CXT_DT_ClaimHeaderTppClaimSet_RegFeed_ValueCode
- CXT_DT_ClaimHeaderTppClaimSet_RegFeed_ServProv
- CXT_DT_GetClaimLineDataforTPPClaimSet_RegFeed_Amount
- CXT_DT_GetClaimLineDataforTPPClaimSet_RegFeed_Adj
- CXT_DT_GetClaimLineDataforTPPClaimSet_RegFeed_History
- CXT_DT_GetClaimLineDataforTPPClaimSet_RegFeed_Proc
- CXT_DT_GetClaimLineDataforTPPClaimSet_RegFeed_Miscellaneous
- CXT_DT_GetClaimLineDataforTPPClaimSet_RegFeed_DiagInfo
- CXT_DT_GetClaimLineDataforTPPClaimSet_RegFeed_ProviderProf
- CXT_DT_GetClaimLineDataforTPPClaimSet_RegFeed_ProviderInst
The clients can use data transforms and the associated mapping in them to extend the request if required.
Previous topic SCE ClaimsXten collections Next topic SCE request batch generation