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  • Contribute to Claim Review Search with Medical Item/Service filter

  • Listening for <<signal_mutation_module_after_mutating>> SubmitClaimsMutation

  • Prepare the new checked claims for AI categorisation (not to be selected by reviewers)

  • Convert openIMIS Claims to FHIR Claims and POST to Claim-AI

  • Receive FHIR ClaimResponse

  • Update Claim Status and ReviewStatus

  • Reports claim adjudication misclassifications

Models

The following model is JSON extension will be created to support the Claim AI-based Categorisation:

Plantumlcloud
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Claim-AI Module

Claim-AI Responsibilities

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