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Adding Facility Claims


A contract with a facility may specify that the facility should be paid each time it provides a service to a member. If so, the facility or member may contact a company to initiate claims for payment.

Facility claims may be imported from a claims processing engine, by using Siebel eBusiness Application Integration. For more information, see Integration and Overview: Siebel eBusiness Application Integration Volume I.

To add a facility claim

  1. Navigate to the Facilities screen > Facility List view.
  2. In the Facilities list, drill down on the desired facility.
  3. Click the Claims view tab.
  4. In the Claims list, add a record.
  5. In the Add Claims dialog box, perform the appropriate task:
    • To choose an existing record, select a record and click OK.
    • To add a new record, click New and complete the fields.

Siebel Healthcare Guide