Oracle Health Insurance Claims Adjudication and Pricing (4.23.1)

Operations Guide
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Operations Guide

    • Authorizations
      • Authorizations
      • Authorization Integration Point
    • Claims ADF Pages
      • Regional Area
      • Local Area
      • Detail Dialogs
      • Change Claim
      • Claims Search Result
      • Claim Lines Search Result
      • View Claim
      • Enter Claim
      • Manual Pricing
      • Manual Pricing Adjudication
      • Manual Benefits
      • Manual Adjudication
      • View Claim Transaction
      • Financial Transactions
    • Data Model
      • Claims
      • External Claims Data
      • Repository Model
    • Claims Flow
      • Flow Overview
      • Receive Change or Enter Claim
      • Integration Points
      • Sanity Checks
      • Pre-Pricing Checks
      • Enrollment Callout
        • Gathering Enrollment Data
        • Enrollment Integration Point
        • Scenarios
      • Reservation Selection, Claim Classification, and Episode Detection
      • Pricing
        • Introduction
        • Key Features
        • Pricing Overview
        • Pricing Workflow
        • Clean Up Pricing Results
        • Select and Apply Reimbursement
          • Select and Apply Reimbursement Method and Pricing Rules
          • Fee Schedule Line Dynamic Priority
          • Select and Apply Provider Limit Rules
          • Select Provider Pricing Clauses
          • Track Provider Pricing Clauses
        • Examples
          • Adjustment Rules
          • Diminishing Rates
          • Bundled Amounts
          • Provider Limit Rules
          • Inclusion Rules
          • Price Principal Procedures
          • Replacement Rules
      • Pricing Adjudication
      • Pricing Finalization
      • Payment Status Callout
        • Gathering Payment Status Data
        • Payment Status Integration Point
      • Pre Benefit Checks
      • Benefits
        • Benefits
        • Clean Up Benefits Results
        • Select Policy Products
        • Select Benefit Specifications
        • Select Benefit Specifications for Ancillary Lines
        • Validate Selection
        • Evaluate Regimes
        • External Intervention
      • Adjudication
        • Adjudication Workflow
        • Introduction
        • Key Features
      • Finalization
        • Finalize Claim
        • Unfinalize Claim
      • Appendices
        • Case Recognition Scenario
        • Scenario 1 - Externalized Benefit Selection
        • Portable Waiting Periods
        • Consumption
        • Case Definitions
        • Routing Slips
        • Activity Types
        • Claim Line Locking Scenarios
    • Financial Processing
      • Overview
      • Financial Holds
      • Select Transactions into Set
      • Supersede Financial Transactions
      • Generate Financial Message
      • Resend Financial Message
      • Unsend Financial Message
      • Dynamic Logic Functions
      • Scenarios
        • Claim with 2 Adjustments
        • Initially Denied Claim
        • Subsequently Denied Claim
        • Subsequently All Withhold Claim
        • Non-Invoiced Claim with Adjustment
        • Mixed Claim
        • Multiple Payment Receivers with Adjustment
        • Financial Message Mandatory
Operations Guide
  • All Guides
  • Configuration Guide
  • Developer Guide
  • Installation Guide
  • Operations Guide
  • Security Guide
  • System Administration
  • Operations Guide
  • Authorizations
  • Authorization Integration Point

Authorization Integration Point

For more information on Authorization Integration Point, see the following topic:

  • Authorization Integration Point

Authorizations Regional Area

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