EDI Flow EDI Flow EDI FlowABAP Session 1ABAP Session 1ABAP Session 1

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EDI Architecture
Bimal K Barik

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Healthcare Provider Payer/Insurer
HEALTH CARE EDI ARCHITECTURE
Eligibility
Billing
Billing Enquiry
Account
Receivable
Account
Payble
Adjudication
Claim Intake
Enrollment
Verification
Bimal K Barik
278 Certification Request
270 Eligibility Enquiry
276 Claim Status Enquiry
271 Eligibility Response
999 Functional Acknowledgement
277 CA Claim Acknowledgement
277 Claim Status Response
835 Remittance Advice
275 Additional Information
837 Claim
278 Certification Response
BANK BANK

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Customer Seller
3PL WAREHOUSE EDI ARCHITECTURE
Bimal K Barik
861 Receiving Advice
840 Request for Quote
832 Price catalog
855 Purchase Order Acknowledgement
856 Advanced Shipment Notice
850 Purchase Order
810 Invoice
3PL provider PICKS, PACKS and SHIP THE
ORDER
945 Warehouse Shipping Advice
940 WAREHOUSE SHIPPING ORDER
943 Warehouse Stock Trans Shipment Advice
846 Inventory Balance Notification
947 Warehouse Inventory Adjustment Advice
944 Stock Transfer Receipt Adv
820 Payment Advice
843 Response to Quote
820 Payment Advice
BAN
K
830 and 846
is same as
850 flow

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AUTOMOTIVE EDI ARCHITECTURE
Auto
Manufactur
er
Bank
Parts
Supplier
Bimal K Barik
Receiving / Discrepancy Report
Delivery Order
Advanced Shipment Notice
Material Release
Purchase Order ( In Advance )
Deposit
Report
ACH Info
Account Payable
Bank
Remittance Advice
Carrier
Goods / Parts Goods / Parts

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E-Commerce
•Business - to - Business (B2B)
•Business - to - Consumer (B2C)
•Consumer - to - Consumer (C2C)
•Consumer - to - Business (C2B)
•Business - to - Government (B2G)
•Government - to - Business (G2B)
•Government - to - Citizen (G2C)

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Business - to - Business
B2B business model sells its products to an
intermediate buyer who then sells the product to
the final customer. As an example, a wholesaler
places an order from a company's website and
after receiving the consignment, sells the
endproduct to the final customer who comes to
buy the product at one of its retail outlets.

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Business - to - Consumer
B2C business model sells its products directly
to a customer. A customer can view the
products shown on the website. The customer
can choose a product and order the same. The
website will then send a notification to the
business organization via email and the
organization will dispatch the product/goods to
the customer.

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Consumer - to - Consumer
C2C business model helps consumers to sell
their assets like residential property, cars,
motorcycles, etc., or rent a room by publishing
their information on the website. Website may or
may not charge the consumer for its services.
Another consumer may opt to buy the product
of the first customer by viewing the
post/advertisement

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Consumer - to - Business
In this model, a consumer approaches a
website showing multiple business
organizations for a particular service. The
consumer places an estimate of amount he/she
wants to spend for a particular service. For
example, the comparison of interest rates of
personal loan/car loan provided by various
banks via websites. A business organization
who fulfills the consumer's requirement within
the specified budget, approaches the customer
and provides its services.

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Business - to - Government
B2G model is a variant of B2B model. Such
models are used by governments to trade and
exchange information with various business
organizations. Such websites are accredited
by the government and provide a medium to
businesses to submit application forms to the
government.

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Government - to - Business
Governments use B2G model websites to
approach business organizations. Such
websites support auctions, tenders, and
application submission functionalities.

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Government - to - Citizen
Governments use G2C model websites to
approach citizen in general. Such websites
support auctions of vehicles, machinery, or
any other material. Such website also
provides services like registration for birth,
marriage or death certificates. The main
objective of G2C websites is to reduce the
average time for fulfilling citizen’s requests for
various government services.

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E-Commerce - Payment Systems
E-commerce sites use electronic payment,
where electronic payment refers to paperless
monetary transactions. Electronic payment has
revolutionized the business processing by
reducing the paperwork, transaction costs, and
labor cost. Being user friendly and less time-
consuming than manual processing, it helps
business organization to expand its market
reach/expansion. Listed below are some of the
modes of electronic payments −
Credit Card
Debit Card
Smart Card
E-Money
Electronic Fund Transfer (EFT)

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Credit Card
Payment using credit card is one of most common mode
of electronic payment. Credit card is small plastic card
with a unique number attached with an account. It has
also a magnetic strip embedded in it which is used to
read credit card via card readers. When a customer
purchases a product via credit card, credit card issuer
bank pays on behalf of the customer and customer has
a certain time period after which he/she can pay the
credit card bill. It is usually credit card monthly payment
cycle. Following are the actors in the credit card system.
•The card holder − Customer
•The merchant − seller of product who can accept
credit card payments.
•The card issuer bank − card holder's bank
•The acquirer bank − the merchant's bank
•The card brand − for example , visa or Mastercard.
Credit Card Payment Process
Step 1
Bank issues and activates a credit card to the customer on
his/her request.
Step 2
The customer presents the credit card information to the
merchant site or to the merchant from whom he/she wants to
purchase a product/service.
Step 3
Merchant validates the customer's identity by asking for approval
from the card brand company.
Step 4
Card brand company authenticates the credit card and pays the
transaction by credit. Merchant keeps the sales slip.
Step 5
Merchant submits the sales slip to acquirer banks and gets the
service charges paid to him/her.
Step 6
Acquirer bank requests the card brand company to clear the
credit amount and gets the payment.
Step 6
Now the card brand company asks to clear the amount from the
issuer bank and the amount gets transferred to the card brand
company.

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EDI Flow EDI Flow EDI FlowABAP Session 1ABAP Session 1ABAP Session 1

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