Table 4. Siebel Healthcare Integration Messages
|
|
|
|
ASI |
Request Add/Cancel Group Policy Member |
Policy Administration System |
A message to add or cancel a group policy member. For information, see Siebel Application Services Interface Reference. |
ASI |
Response Add/Cancel Individual Policy Member |
Policy Administration System |
A message to add or cancel an individual policy member. For information, see Siebel Application Services Interface Reference. |
ASI |
Request Authorization |
Referrals and Authorizations System |
A message to search for appropriate providers. For information, see Siebel Application Services Interface Reference. |
ASI |
Request Benefit Detail |
Benefits System |
A message to submit information required for determining eligibility. For information, see Siebel Application Services Interface Reference. |
ASI |
Request Member Details Update |
Membership System |
A message to update demographic and contact details for a member. For information, see Siebel Application Services Interface Reference. |
ASI |
Request Preliminary Rating |
Rating Engine |
A message to request a preliminary rate based on census and plan information. For information, see Siebel Application Services Interface Reference. |
ASI |
Request Providers |
Provider System |
A message requesting benefit detail. For information, see Siebel Application Services Interface Reference. |
ASI |
Request Referral |
Referrals and Authorizations System |
A message to submit authorization request. For information, see Siebel Application Services Interface Reference. |
ASI |
Update Provider Details |
Provider System |
A message to update the demographic and contact details for a provider. For information, see Siebel Application Services Interface Reference. |