Manage Lines of Business

A Line of Business (LOB) simplifies the organization of data exchange components that serve the needs of a specific health insurance market segment. Once you create and define a LOB, you can configure various details, such as the threshold, for each LOB.

This section explains how to configure a Line of Business in the Oracle Health Insurance Data Exchange Cloud Service (DECS).

Oracle Health Insurance Data Exchange Cloud Service includes three system-defined LOBs (Medicare, Medicaid, and Commercial) that are disabled by default. You must create your own custom LOB using one of these pre-defined LOBs as the base.

To learn more about trading partners, see Line of Business

Create a Line of business

To create a Line of Business, follow these steps:

  1. Log into Oracle Health Insurance Data Exchange Cloud Service Designer Workbench application.

  2. On the home page, click Line Of Business Flower, and click New.

    lobnew

  3. Enter the following information :

    Item Description

    Code

    Enter a unique identifier for the Line of business.

    Base Model

    Select the preferred LOB from the dropdown menu to use as a base for the new LOB. Here, all exiting LOBs are displayed.

    Name

    Enter the name of the LOB.

    Description

    Enter a brief description of the LOB.

  4. Click Save to save the details of the Line of Business. This creates a new LOB in the enabled status.

After creating a LOB, you can configure the following feature:

  • LOB Thresholds: Define the threshold for exceptional handling within the LOB.

  • Enrichment Lookups : Establish data enrichment lookups specific to the lob.

Search an Existing Line of Business:

You can search existing LOBs and view all their details. The search operation returns a list of results based on locating keywords such as LOB Name, Created From To, Updated from To, Enabled Flag, or Base Model.

To search for a LOB, follow these steps:

  1. Navigate to the Line of Business page.

  2. Click More Filter next to the search text box.

    lobsearch

  3. In the Search Filter(s) dialog box, enter or select the following search criteria:

    • Name: Name of the line of business.

    • Enabled: Specify whether to search for the line of business that is currently enabled or disabled.

    • Updated by: Enter the username of the person who last updated the line of business profile.

    • Created by: Enter the username of the person who created the line of business profile.

    • Updated from and To: Set a date range to search for the line of business updated within a specific timeframe.

    • Created From and To: Set a date range to search for the line of business created within a specific timeframe.

    • Base Model: Select the base model from the drop-down.

  4. Click Search to retrieve the list of lines of businesses.