Claim Pipeline¶

Overview¶

See the architecture diagram on Excalidraw ⧉.

Steps¶

Each module in this folder describes a step of the claim management pipeline:

request
assurcard_import
reimbursement_request_review
parsing
extraction
matching
consolidation
coverage_computation
settlement
reimbursement_payment

Supported sources & Steps¶

graph LR
    ReimbursementRequest{{Reimbursement Request}}
    Document{{Document}}
    eBVAC{{eBVAC}}
    H{{HospitalizationInvoice}}

    ReimbursementRequest -->Document -- upload -->RRR[Reimbursement Request Review]
    RRR --> P[Parsing]
    P --> B[Extraction]
    B --> C[Matching]
    C --> D[Consolidation]
    D --> E[Coverage Computation]
    E --> F[Settlement]
    F --> G[Reimbursement Payment]

    eBVAC -- auto--> AI[AssurCard Import]
    H -- auto --> AI[AssurCard Import]
    AI --> P

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List of Mutualities¶

Code	Label
304	Solidaris Antwerpen
601	Gewestelijke dienst Antwerpen
675	Zeevarenden/Marins
311	Solidaris Oost-Vlaanderen
216	La Mutualité Neutre
526	Helan
417	Liberale Mutualiteit Plus
409	Mutualité Libérale Hainaut-Namur
134	Mutualité chrétienne
323	Mutualité socialiste du Luxembourg
120	Christelijke Mutualiteit Vlaanderen
228	Mutualia - Mutualité neutre
407	Liberale Mutualiteit van Oost-Vlaanderen
509	Partenamut
900	HR Rail
403	LM Mutplus
203	Vlaams & Neutraal Ziekenfonds
306	Solidaris Brabant
309	Solidaris West-Vlaanderen
414	Mutualité Libérale Liège - Luxembourg
235	Neutraal ziekenfonds Vlaanderen
515	Freie Krankenkasse
600	CAAMI/HZI
322	Solidaris Limburg
319	Mutualité Solidaris Wallonie