1 Split and Validate Route

This route receives a batch with 837 claims, validates and splits the batch into individual claims. Then, the route directs all the accepted claims to the NPI Check route through the Subroute component to check whether the NPI is available and is valid. The Subroute component is parametrized - with each claim directed to the subroute, the component passes the NPI number as a parameter. After the NPI Check route returns the NPI verification results, the claim goes to either the 2 Translate and Convert to XData route through Inter Route Outbound (valid NPI) or the claim is stored in the file system (invalid NPI).

Route Structure

Route Components Description

Component Name	Component Type	Description
FS Inbound	FS Inbound	Picks up a batch file with 837 claims.
Native Processing	Native Processing	The component does the following: Validates and splits the inbound file into accepted and rejected claims by using the split rules file DataSplitRules_Claim.xml located in the directory ${XESProfileConfig}/artifacts/splisRules. Extracts the NPI value by using the data node macro {D[dns.fnm.Provider.prp.BillingProviderPrimaryID]}]} and sets the NPI as the XEServer property NPI. Generates an LDNS report located in the directory ${XESWorkspace}/test-data/outbound/archive/splittingReports.
Bad Claims	FS Outbound	Stores the claims that failed to pass the XEngine validation.
NPI Check	Subroute	The component sends the accepted claims to the route NPI Check to verify the validity of the NPI. After the verification, the route NPI Check returns claims with the property NPIValidationResult that holds the NPI validation result code.
Reports	FS Outbound	Stores the LDNS reports in the file system.
Is NPI Valid?	Router	The component filters the claims by the property NPIValidationResult and directs all the claims with valid NPI to the to route #2 component. Claims with invalid NPI go to the Not Valid component.
to route #2	Inter Route Outbound	Transfers XEServer message exchanges with claims to the route 2 Translate and Convert to XData.
Not Valid	FS Outbound	Stores claims with invalid NPI in the file system.