About this task
A provider can execute the
Real-Time Claims Adjudication Solution Scenario in Business Space by logging on to Business
Space, initiating a request, providing claim details using forms,
and submitting the data for processing. If successfully executed,
the provider is informed of the claim amount to be paid by the patient,
incase of an error the claim is directed to a supervisor for correction.
The supervisor can then correct and resubmit the claim using Business
Space.
Note: Some of the fields, used in
the forms, for this
Solution Scenario are
programmed using basic validations. You can verify the validation
for the field by moving the mouse pointer over the field.
The fields
in which data is required are labeled with a * and have a different
color. The Submit button in the form is disabled until you provide
a value in all such fields in a form.
You can start the Solution Scenario in
Business Space to view the Getting Started Widget. The Getting
Started Widget lists the assets and the steps for using the Solution Scenario.
Table 1. Widgets to roles mappingRoles |
Create Task |
Task Definition List |
All dashboard |
Process Instance / Process Check |
Provider |
Yes |
Yes |
N/A |
N/A |
Supervisor |
N/A |
Yes |
N/A |
N/A |
LOB Manager |
N/A |
N/A |
Yes |
N/A |
Provider Administrator |
N/A |
N/A |
N/A |
Yes |