Overview

The following tables provides an overview of the integration points that are available for exchanging data with Oracle Health Insurance Authorizations:

Integration Point Purpose Inbound/Outbound Realtime/Batch

Access Tokens

Returns OAuth2 access tokens

Outbound

Realtime

Attached Data

Create or modify additional information related to the authorization without affecting its status or reprocessing the authorization

Inbound

Realtime

Authorizations In

Create and update authorizations

Inbound

Request

Authorizations Out

Supports inquiries about the current status of a particular authorization

Outbound

Request

Base View Generation

Starts the generation of base views

N.A.

Request

Current Properties

Shows currently set properties and their values

Outbound

Realtime

Credentials

Manage credentials

Both

Realtime

Data File Set

Uploading of files

Inbound

Both

Data Replication of Persons

Replicate changes of person data from OHI Enterprise Policy Administration

Inbound

Batch

Data Set Operations / Config Migration

Creates, updates and deletes configuration.

Both

Batch

Diagnoses In

Create and update diagnoses information

Inbound

Batch

Enrollment Status Response

Acquires enrollment data from an enrollment system (for example Policies)

Outbound

Request

Key Stores

Configure key stores

Both

Realtime

Note

Retrieve, create and update claim notes

Both

Request

Procedures In

Create and update procedures information

Inbound

Batch

Property Definitions

Retrieve all available system property definitions

Outbound

Request

Provider In

Create and update provider (individual, organization and group) information

Inbound

Both

Provisioning

Provision OHI Authorizations with user and user roles

Inbound

Request

Relation In

Create and update relation (person and organizations) information

Inbound

Both

User Information

Provides the ability to fetch the user information (user preferences, access restriction grants, etc.) and to update the user preferences of the logged in user

Both

Request

The following table lists additional usage characteristics of those integration points and places them into context:

Integration Point Usage Frequency Must Have or Option

Access Tokens

Frequently

Must Have when using OAuth

Attached Data

Incidentally

Optional

Base View Generation

Incidentally

Optional

Credentials

Incidentally

Must Have when securing REST

Current Properties

Incidentally

Optional

Data File Set

Frequently

Must Have

Data Replication of Persons

Frequently if enabled

Optional

Data Set Operations / Config Migration

Incidentally when configuration needs to change

Recommended

Enrollment Status Response

Frequently

Must Have

Key Stores

Incidentally

Must Have when securing REST

Authorizations In

Frequently

Optional

Authorizations Out

Frequently

Optional

Provider In

Frequently

Optional

Provisioning

Incidentally, to give new users access to the system

Must Have

Property Definitions

Incidentally

Optional

Relation In

Incidentally

Optional

Diagnoses In

Incidentally

Optional

Procedures In

Incidentally

Optional

User Information

Frequently

Must Have

Note

Incidentally

Optional

Details about individual integration points can be found in the Developer Guide of OHI Authorizations.