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Upload workflow - To upload e-claim transactions to Post Office in .xml XML or .zip ZIP format.
Download workflow - To download e-claim transactions (remittance advice transactions) from the Post Office.
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To upload claim transaction, place the XML files into the designated Upload folder (this directory is configured while setting up the configuration of the application).
The files can either be
.XML / .xml format
.zip ZIP format (There has to be a valid XML withing the zip ZIP file to be processed)
By default, both XML and Zip ZIP files are processed/uploaded to Shafafiya in their respective file formats without any conversions. However,
If ‘Zip ‘ZIP transactions before upload’ setting is specifically selected upon configuration then,
All XML Claim.Submission files placed into the upload folder will be converted to ZIP files and then uploaded to Shafafiya. Consequently, all post-processed files found in the ‘Success’ folder will be of Zip ZIP file format.
All Zip ZIP Claim.Submission files placed into the upload folder will be uploaded to Shafafiya without any conversions and processed as is.
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Further subdirectories are created in the ‘Success’ folder in the following fashion,
Chosen Configured directory\Success\YYYY-MM\Payor ID. Where,
Chosen Configured directory is the directory configured in the application.
Success - is the success subfolder.
YYYY-MM - is the year and month of claim upload in YYYY-MM format.
Payor ID - is the payor ID to which claims are uploaded.
All uploaded file names will also have a Prefix in the following fashion,
YYYY-MM-DD HH_mm_SS original filename, where,
YYY-MM-DD HH_mm_SS - is the date time stamp in the specified format when the upload was completed.
original filename - is the original filename of the Claim.Submission file.
If there are multiple files with the same name, then a counter is automatically appended to each file to differentiate them.
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If valid transactions matching the above conditions are found then they are downloaded to the download folder and the transactions are marked downloaded at the Post Office. By default, both XML and Zip ZIP files are processed/downloaded from Shafafiya in their respective file formats without any conversions. However,
If ‘Unzip transactions after download’ setting is specifically selected upon configuration then,
All downloaded XML Remittance.Advice files placed into the download folder will still be XML file format with no changes.
All downloaded Zip ZIP Remittance.Advice files will be automatically extracted and only the XML file will be placed into the specified download folder. Original Zip ZIP files will automatically be removed.
Further subdirectories are created in the ‘Download’ folder in the following fashion,
Chosen Configured directory\Download Date\Transaction Date\From payor ID. Where,
Chosen Configured directory - is the directory configured in the application.
Download- is the default download subfolder.
Download date - is the date of downloading Remittance.Advice file in the format YYYY-MM-DD.
Transaction date - is the date of the original transaction in the format YYYY-MM-DD.
From payor ID - is the payor ID from which Remittance.Advice file was received.
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For queries, concerns, suggestions or support contact help@greenrainhealthhelp@greenrain.comonline.