This work will process claims payments through existing EDI system. Enhancement will be needed to correctly identify, route and process claims.
Claims Processing and Eligibility
· Experience with X12 837 format
· Experience with X12 270/271 format
· Facets
· C++
· C#
· .Net
· SQL
· Informatica
This work consists of two primary parts:
1. Receipt of X12 claims and enhancing existing EDI system to pre-process and route the claims to the Digital Platform;
2. implementation of a web services based platform to pull in claims for pricing, route claims for editing, route claims for pricing, return claims to the EDI system for routing back.. Logging of events as claims are processed through the system will be required. Additionally, a web UI may be needed to present logging data around the workflow.
Claims Processing
· Experience with X12 837 format
· Facets
· C++
· C#
· .Net
· SQL
Digital Platform
· Java
· .Net
· 3Scale
· SpringBoot
· Kubernetes/OpenShift
· Docker
· SQL (ANSI or Oracle)
· Apache Camel
· XML/JSON
· Web Services Architectures
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