5 BC Completion Route

This route is activated once the Balance Counters completion expression is resolved to TRUE.

(NumberOfClaims && FrontEndProcessing && Adjudication) == TRUE

The completion expression includes three other Balance Counter expressions:

HIPAA_Accepted + HIPAA_Rejected == ItemsInFile

The expression ensures that none of the claims from the original claim batch is lost.

FrontEndAccepted + FrontEndRejected == HIPAA_Accepted

The expression ensures that for every good claim, an acknowledgement (positive or negative) has been generated.

SentToAdjSystem1 + SentToAdjSystem2 + WrongClaims == FrontEndAccepted

The expression ensures that all generated positive acknowledgements are delivered to the corresponding back-end system.

When the expression evaluates to TRUE, the route forwards generated acknowledgements back to the sender (file system emulation).

Route Structure

5 BC Completion Route

Route Components Description

Component Name Component Type Description
BCounter Inbound BCounter Inbound Initiates processing on the route once the Balance Counter completion expression is fulfilled.
Get All 277 CA FS Inbound Picks up all the 277 CA acknowledgements from the file system and sends the data to the route component To sender.
To sender FS Outbound Stores the acknowledgements intended for the sender in the file system.