Context⁴ Healthcare Claim Web Services (CWS) will make claims editing available to programmatic clients via HTTP over SSL (HTTPS) using RESTful Web Service architecture.

FIGURE 1 Context⁴ Healthcare Claim Web Services (CWS) Process

This solution allows Quantum Choice to be the client application that sends claim data to CWS for editing:

FIGURE 2 Quantum Choice Sends Claim Data to CWS for Editing

Installation

Claim Editing System Integration components are a series of DLLs and configuration files. No installer is available to perform the set up of components. The manual steps to configure are contained in this document. Configuration is dependent upon an installation of the:

• PLEXIS Quantum Choice UI
• QC History Database
• Plexis.Service.ClaimAdjudication service

The Quantum Choice Services that rely on Claim Editing System Integration components are as follows:

• Plexis.Service.ClaimAdjudication.AdjudicateClaim
• Plexis.Service.ClaimAdjudication.NegateClaim

By default, the program directories are located at:

• C:\Program Files\Plexis Healthcare Systems Inc\Quantum Choice 2021.1000.0\Services\ClaimAdjudication\AdjudicateClaim
• C:\Program Files\Plexis Healthcare Systems Inc\Quantum Choice 2020.1000.0\Services\ClaimAdjudication\NegateClaim

To install the components, stop the AdjudicateClaim and NegateClaim service. Place the necessary components into the program directories and restart the services.

The necessary components for Claim Editing System Integration are as follows:

• C4HSettings.xml
• Plexis.CES.C4H.dll
• CESlkData.xml
• A DLL containing an implementation of Plexis.ClaimEditingSoftware.ICesCredential
  • See Authentication Credential Configuration for details

The following components are necessary for Claim Editing System Integration but should already be included with the installation of Service.ClaimAdjudication.

Verify program directories contain the following assemblies before continuing:

• Plexis.ClaimEditingSoftware.dll
• Castle.Core.dll
• Castle.Windsor.dll
• log4Net.dll