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Siebel Healthcare Integration Messages


Siebel Healthcare includes a number of integration messages designed to support key business processes for the healthcare industry. Table 4 describes these messages by defining the message type, the message purpose, the target application, and where you can find more information about it.

Table 4. Siebel Healthcare Integration Messages
Type
Message
Target Application
Description

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.

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