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Use Case Overview 🎢

  • Objective:

    • Receive individual health claim bills in JSON format from ADVA.

    • Merge these bills and create one EDI 837 outbound file.

    • Send the merged EDI 837 file to the supplemental partner.

    • Receive pricing from the supplemental partner in the HCP segment of the EDI 837 file.

    • Process the EDI 837 file and send the pricing information in JSON format back to ADVA.

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