Encounter Outbound Profile Overview
When you process business items in complex systems, you may want to be aware of the processing status at each single step of your workflow. Edifecs XProcess Management allows you to model and monitor cross-enterprise business processes by creating end-to-end models of your business processes and by tracking the phases of your business flow. For more information, see XProcess Management Help Center. This profile shows you how XEServer communicates with XProcess Management while processing various claims and creating encounters by using the route component XPM Event.
Profile Location
Edifecs Library / Best Practices / XProcess Management / Encounter Outbound
Requirements
- Edifecs XEngine 9.0 or later
- Edifecs XEServer 9.0 or later
- Edifecs Application Manager 9.0 or later
- X12 Standard 8.8.11 or later
- X12N Standard 8.8.11 or later
- HIPPA Standards 8.8.14 or later
- External Code Lists for HIPAA 8.8.13 or later
Prerequisites
- In Edifecs Application Manager, add the profile Encounter Outbound from the Edifecs Library. For more information, see Edifecs Library Help Center.
- Double click Configuration, and on the Outline tab, expand Services, and then click Monitoring.
- On the Category tab, double-click XProcess Service, and on the Settings tab, establish a connection to XProcess Management by selecting the connection host, and entering the user name, and the password.
- Ensure that the connection is successfully established by clicking Test connection.
- Click Save (
) or press CTRL+S to save changes.
- Go to the folder ${XESProfile}\bin and run start.bat to start the profile.
Profile Execution
- Go to the folder ${XESProfileConfig}\configuration\TestData and copy the sample file MedicareClaim.dat to the directory ${XESWorkspace}\test-data\outbound\temp\1.
- When the processing is complete, in the Business Item Monitoring section in Process Management, you will see several objects - one for the object File Processing and two for the object Claim Processing. The object Claim Processing contains the following events:
- Start
- Payment Received from Adjudication
- Original
- Encounter Creation
- Business Rules
- Channel Ready
- Submit to CMS
- Submitted to Reporting Agency
- Response Received
- Accepted by CMS
- End