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Additional NetworX property mappings

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Updated on August 31, 2021

The following additional NetworX property mappings are included Smart Claims Engine.

HSS Pricing Fields

All HSS pricing properties that are returned in an NetworX response (professional or institutional claims) are mapped to the claim work object and claim UI, so that all HSS repricing data fields can be properly displayed. The following HSS properties from the PegaHC-Data-Pricer-HNXPricing class are currently mapped: HHSDetails, RepriceRule, RepriceSection, RepriceTerm, and SequenceNumber. The Map NXP Response Pricing HSS data transform was created for mapping those properties.

The properties are displayed in the claim UI at the claim header level, within a discrete HSS Pricing information section, and the HSS Details, a data blob, is displayed inside a discrete attribute entitled HSS details, within the HSS pricing information section.

Note: A section entitled HSS repricing_EXT has been created to allow you to create your own customized UI section for HSS pricing (shown below).

ITS pricing fields

ITS properties that are returned in a NetworX response are also mapped to the claim object and UI, so that all ITS pricing fields are properly displayed. The following ITS properties from the PegaHC-Data-Pricer-ITSPricingType class were mapped: Code, LineNumber, Method, PricingMethod, PrimaryRule, RecordID, SecondaryRule, and Type. The Map NXP Response ITS pricing data transform was created for mapping those properties.

The ITS pricing fields are displayed in the claim UI at the claim header level, inside a discrete section entitled ITS pricing information.

NDC pricing

NDC pricing properties returned in an NetworX response are also mapped to the claim object and UI, so that all NDC pricing fields are properly displayed. The following NDC properties were created and mapped from the PegaHC-Data-Pricer-NDCType class: Price and Unit price. When returned in the NetworX response file, the NDC pricing fields are displayed at the claim line level, within the Execution result section.

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