Once draft e-claims are saved into the database, e-claim Claim.Submission transactions can be generated and uploaded to Post Office.
Step 1. Select E-Claims > Find E- Claims from the menu.
Find & Submit E-Claims form opens.
Step 2. Set a search value and click on Search button.
Search The search results grid appears.
Step 3. Mark several checkboxes and click on click Generate button. Selection is possible for claims in Status = Ready For Submission only.
Two transactions are going to be generated on the screenshot below:
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After the generation has finished E-Claims Generation Result Upload Transactions dialog becomes available informing whether the export to e-claim files completed successfully or not.
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Step 4. Click on Show found errors / Show found warnings and errors link label in the result dialog
OR click on Close button and then on Show found errors / Show found warnings and errors link label on Find & Submit E-Claims form.
Errors and Warnings Viewer opens. Highlight any claim at the left panel to see errors details.
Note: one user mistake can generate several errors.
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Step 5. To store the details click on Save errors as CSV file, set file name and click on Save button.
A confirmation dialog appears asking whether to open the file or not.
Step 6. Click on Yes button, compare errors with claims data and correct them.
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Step 4. Click on Upload to HAAD Post Office button in the result dialog.
Greenrain Messenger – a tool to communicate with Shafafiya (Post Office) – opens and begins sending generated files one by one to Shafafiyashowing the generated transactions.
Step 4. Click Upload button.
Generated files are sent one by one to Post Office. If the operation is successful, then the row is marked green, if sending failed fails, then it is marked red.
Step 5. Click on Exit link to close Greenrain Messenger. Greenrain Facility becomes available again.
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(1) Upload e-claims to HAAD Post Office, on clicking which Greenrain Messenger opens and transactions upload as described above.
(2) Open folder with e-claim files, on clicking which E-Claim Files folder opens where generated claims are organized by generation date, TPA-Payer, and then by submission date where generated e-claim submission file in .xml format is placed.
