Objective:

• Our System will accept and submit a set of XML Files (Multiple RA Claims)
• Our System will read multiple RA Claims XMLs and separate this into two XML files
• Accepted XML File (ii) Rejected XML File
• Analyzing the XML Data which is received from Insurance Provider
• Our System will create a batch no. for each claim submission
• When batch is created, XML and XL are generated and gets auto downloaded
• Our System provides the option (Success / Failed) to update based on the HIS Submission Success / Failure
• Our System maintains all batches in a list with their Claim Ids detail under each batch
• Our System will maintain the services (Service Code) under each claim under each Branch, each Insurance Provider (Branch Insurance provider Claim Service)
• Accepted / Rejected Claims are kept for each Service Code
• Claims under Successful Batch can be downloaded in XML or XL at any point of time
• Our System will not allow the same Service Code under same Claim ID for Submission

Dashboard Reporting:

• Branch
• Insurance Provider
• Claim ID
• Claim Type (Accepted / Rejected / All)
• Batch Type (Batched / not Batched / All)
• Transaction Date / Start Date

Modules:

• Upload Multiple RA Claim XML Files
• Separating uploaded XMLs into Accepted & Rejected XMLs
• Create Batch for selected Claims under Accepted or Rejected or Both
• Generate XML for Accepted & Rejected
• Download XL from XML
• List of Created Batches
• List of Submitted Services / Claims under each Batch
• Update the Status (Success or Failed) for each Batch
• Branch Master
• Insurance Master
• Employee Master
• User Master
• User Rights Master