2 Create 277CAs Route

This route generates a positive or negative acknowledgement for each claim based on the claim's NPI validation results. Acknowledgements are generated using the route components XE Translator and special map files (.ems) located at ${XESProfileConfig}/configuration/Maps/. Once the route generates an acknowledgement, the route pushes the acknowledgement to Batcher and updates the corresponding Balance Counter counters. The routes sends the positive acknowledgements to the 3 Delivery to Backend route. Depending on whether Visualizer Server has been enabled (global XEServer property VisualizerEnabled ), the route stores the acknowledgements in the folder for further tracking.

Route Structure

2 Create 277CAs Route

Route Components Descriptions

Component Name Component Type Description
Parent Route Input Parent Route Receives claims from 1 Claim Intake Route and initiates route processing.
Ack Kind Router Checks the property Ack Kind and splits the claim flow to generate positive and negative acknowledgements.
Bad NPI Claims FS Outbound Stores claims whose NPI have not been verified.
837 to 277CA Negative XE Translator Generates negative acknowledgements using the ${XESProfileConfig}/configuration/Maps/837-277CA-Negative.ems map.
Translator Rerorts FS Outbound Stores translation reports.
Negative 277CA Provider Batcher Outbound Adds negative acknowledgements to Batcher.
Front-End Rejected BCounter Outbound Increments the count of claims that produced negative acknowledgements (FrontEndRejected counter).
Visualizer is on? Router Checks the property VisualizerEnabled, and if set to TRUE, passes acknowledgements through.
Strore acks for Visualizer FS Outbound Stores acknowledgements for further visualization.
Good NPI Claims FS Outbound Stores claims with valid NPI.
837 to 277CA Positive XE Translator Generates positive acknowledgements using the ${XESProfileConfig}/configuration/Maps/837-277CA-Positive.ems map.
Positive 277CA Batcher Outbound Adds positive acknowledgements to Batcher.
Deliver Claim Subroute Directs positive acknowledgements to the 3 Delivery to Backend route.
Front-End Accepted BCounter Outbound Increments the count of claims that produced positive acknowledgements (FrontEndAccepted counter).