Key cycles for testing

  1. Coverage eligibility check

  2. Pre-authorization (Initial & enhancements)

  3. Claims

  4. Communication request

    a. For supporting documentation and information

Please refer the HCX protocol API structure section for message/API call headers, body, payload and error handling of the API call in each of the above-mentioned cycle:

Following section provides key testing scenarios and their data requirements for each of these cycles.

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