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