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Plantumlcloud
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AI-based Claim Adjudication Process

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After the categorisation by the Claim-AI Module, the second sends back the response as ClaimResponse. The ClaimResponse is then converted to Claim and is updated into the DB.

The Build FHIR ClaimResponse and AI-based Claim Adjudication Status sections show the different attributes that are modified by the Claim-AI Quality module:

  • Claim.ReviewStatus: updated to “Selected for Review” (value 4)

To ease the conversion from FHIR ClaimResponse to openIMIS Claim and saving into the DB, we have implemented the HTTP PUT method for ClaimResponse resource into openIMIS FHIR R4 Module.

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