Objective
Facilitate the seamless integration and processing of health claim bills.
Convert incoming EDI 837 formatted health claim bills into JSON.
Process these claims through various custom flows.
Update the relevant databases with the processed information.
Ensure efficient and accurate handling of health claim data.
Enable partners to manage their billing processes effectively.
Overview
The Bridge Network Partner Framework encompasses multiple processes to handle the end-to-end journey of health claim bills from receipt to final processing. The framework's design involves converting EDI 837 files to JSON, updating metadata and bill details in the database, and leveraging Azure Service Bus for certain flows. The framework also includes mechanisms for pricing retrieval, data aggregation, and outbound processing of the final EDI files.
Design Diagram
Please refer to the diagram below for the low-level design document. This document offers a detailed overview of each component and their interactions within the system.
Description of the Design Diagram
This diagram provides a detailed view of each component and its interactions within the system. Here's a breakdown of the process flow:
...
This diagram illustrates the comprehensive flow and intricate interactions among different components in processing inbound and outbound EDI files within the system.
Use Case: Key Process
The use case involves several key processes:
...