Creation of a Transaction from a Claim - Example

The following example illustrates the creation of a claim transaction from a working copy claim. It also shows an example of the mapping logic that transfers details of a working copy claim to a claim transaction:

The key points of this illustration are:

• the internal keys of the Claims entities (of the working copy claims data) that are used to reference related information (in this case the service specialty and serviced person) are replaced with externally meaningful values (in this case codes, description and name) in the transaction repository

• the inclusion of referenced information can be done to more than one level (in this case from claim to relation to address)

• much of the logic to transfer the working copy claims data to a claim transaction that can be specified using dynamic logic (as used elsewhere in the system)