SAP Healthcare Billing
Category: Healthcare Standards: HIPAA · X12 EDI · GDPR · SAP IS-H FI
SAP IS-H FI billing, claims, and revenue cycle management
What this node does
- DRG calculation
- Claims submission
- X12 837/835 processing
- Revenue cycle management
- Insurance claim processing
- Payment reconciliation
- Denial management
How to use
- In the Agentic Studio, open or create a workflow
- In the node palette on the left, find SAP Healthcare Billing under the Healthcare category (or use the search bar)
- Drag the node onto the canvas
- Double-click the node to open its configuration dialog
- Fill in the required parameters (see Configuration below)
- Optionally connect the Case ID, Claim Data, X12 837 Claim port if needed
- Connect the Invoice Data and Claim Response and X12 835/277 and Error output to the next node downstream
Inputs
| Port | Type | Required | Description |
|---|---|---|---|
| Case ID | text | Optional | Plain text string |
| Claim Data | json | Optional | JSON data object |
| X12 837 Claim | x12-message | Optional | x12-message data |
Outputs
| Port | Type | Description |
|---|---|---|
| Invoice Data | json | JSON data object |
| Claim Response | json | JSON data object |
| X12 835/277 | x12-message | x12-message data |
| Error | error | Error information if the operation failed |
Configuration
Open the configuration dialog by double-clicking the SAP Healthcare Billing node on the canvas.
| Parameter | What to enter |
|---|---|
sapHost | Configure sapHost in the node settings |
billingOrg | Configure billingOrg in the node settings |
payerIntegration | Configure payerIntegration in the node settings |
drgEngine | Configure drgEngine in the node settings |
claimFormat | Configure claimFormat in the node settings |
clearinghouse | Configure clearinghouse in the node settings |
When to use this node
- Submit claims to SAP billing
- Process X12 835 remittance advice
- Calculate DRG and reimbursement
- Manage claim denials and appeals
Need help configuring this node?
Go to Settings → Connectors to set up the connection this node depends on, then reference the connector ID in the node configuration dialog.