3 Delivery to Backend Route
This route handles the delivery of claim acknowledgements to one of the adjudication systems: a SOA-based or local back-end system. The route selects a suitable adjudication system based on the Line of Business indicator, which is the first three characters of the Subscriber ID and a crosswalk file. The crosswalk is located at ${XESProfile}\config\configuration\Crosswalks\ and has the following structure:
Source column |
Target column |
BX1 |
BX2 |
BX3 |
WS1 |
WS2 |
WS3 |
BX |
WS |
|
FileSystem |
FileSystem |
FileSystem |
WebService |
WebService |
WebService |
FileSystem |
WebService |
|
Route Structure
Route Components Description
Parent Route Input
|
Parent Route |
Receives claim acknowledgements from the 2_Create_277CAs route and initiates route processing. |
Crosswalk Lookup
|
Crosswalk Lookup |
Performs a lookup of the crosswalk file LOB Target System using the XEServer property LOB. As a result, the component returns a destination string for each claim acknowledgement. |
Target System
|
Router |
Directs acknowledgements to one of the destination systems. If the destination system is not determined ( the property LOB was not found in the crosswalk), the router directs such acknowledgements to the file system folder Wrong LOB. |
XData Creation
|
XE Native |
Generates XData from acknowledgements. |
Balance SOA
|
BCounter Outbound |
Increments the count of claims sent to the SOA-based adjudication system (SentToAdjSystem1 counter). |
To Web Service
|
FS Outbound |
Stores claims to be sent to a web service. |
837 to DFF
|
XE Translator |
Converts claim acknowledgements to the DFF format. |
Post Processing
|
XML Transformer |
Translates DFF data to a special destination-specific XML format using the template xml2txt.xsl that is available in the directory ${XESProfileConfig}/configuration/XSL. |
To Backend
|
File System |
Stores claims intended for the file system backend. |
Balance Back-End
|
Router |
Increments the count of claims sent to the local adjudication system (SentToAdjSystem2 counter). |
Wrong LOB
|
FS Outbound |
Stores claims whose target system have not been identified. |
Balance Wrong Claims
|
BCounter Outbound |
Increments the SentToAdjSystem2 counter that represents the count of claims with undefined back-end systems. |