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

3 Delivery to Backend Route

Route Components Description

Component Name Component Type 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.