As-Is_Business_Diagram.pdf

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Attached to
Public Health Lab Billing System
Solicitation number
208-1018-25
Issued by
Trinity County, California

About this file

The document is a business process workflow diagram for the Public Health Lab Billing System for the County of Solano, California, specifically detailing the billing workflow across multiple system components and organizational units. The workflow diagram illustrates the step-by-step process from client order submission in Harvest COPIA through specimen linking, host code assignment, billing generation, claim/statement processing, and payment or denial resolution. The diagram spans four organizational lanes: Client, Public Health Lab (PHL), LabBilSys, and PHP, showing the interactions and sequential steps in the laboratory billing process.

The workflow demonstrates a comprehensive billing system that integrates multiple software platforms, including Harvest COPIA and LabBilSys, to manage laboratory service billing. Key process steps include linking specimens to orders, transferring host codes, generating billing, processing claims or statements, and handling payments or denials. The system appears designed to streamline billing operations, improve accuracy, and provide a structured approach to managing laboratory billing transactions. The diagram indicates that paper statements are sent to clients via US Mail, and there are distinct paths for processing claims versus statements, with endpoints for successful completion of each transaction type.

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Text version

Public Health Lab Billing As-Is Workflow

Cl ie nt

PH

L La bB ilS ys

PH

P

Submits Order in Harvest COPIA

Links specimen to Order In Harvest and assign Host

Codes

Host Codes transferred into LabBilSys and assigned charges

Start

Staff generates billing

Process Denial or Post Ct Payment

Pays or Denies Claim

Is this a Claim or Statement

Claim

Statement

End

End

Send remittance to

PHL

Staff sends paper statement to

Clients via US Mail

Process/Post Ct Payment or Remittance

File details come from the government source that posted it. Updated .