Objective
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By the end of this lesson, participants will be able to:
Receive the EDI 837 file from the client securely and validate it.
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 effectivelythe EDI file to JSON.
Securely transmit the JSON file to Adva for pricing and confirm receipt.
Once Adva returns the priced JSON, validate it. Convert the JSON back to EDI format and merge the pricing data with the original EDI file.
Finally, securely transmit the merged EDI file back to the client and confirm receipt.
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 file level metadata and bill level information in the database and leveraging Azure Service Bus to send and receive json message
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