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Importing a professional healthcare claim (837P)

Suggest edit Updated on April 26, 2021

The CEFileListener rule listens for a defined file in a specific file location of the server directory. The Pega provided rule listens for the XML837P.xml file at the \XMLOut\ source location. Change these settings to match your requirements. At a minimum:

  1. Create a directory structure where you can drop your 837P Healthcare claims and enter that location in the Source location field.
  2. Modify the value of the Source name mask to a value that identifies your 837P XML files. This setting is typically set to a mask, for example, *.xml.

The CEXMLFileService service method imports and parses the file and completely maps the incoming data to the claim object model. Then it saves the claim work object to the backlog.

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