Health Insurance scenario
This chapter demonstrates an example scenario that uses several different systems to receive, check, transform, and route a HIPAA EDI 837 Health Care Claim transaction. They then respond back to the source system with an EDI 999 acknowledgement.
Because we assume that the claim will be processed by an existing backend application or process, our scenario ends when we deliver the request to the destination that performs this task.
Beyond the acknowledgement of the receipt of the message, this scenario does not present the ...