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Functional Modules

The 53 source libraries group into 16 functional domains. Each domain page set documents: purpose and actors, the screen catalog, business rules (as testable requirement statements with source references), workflows, data touched, reports, and open questions for SME review.

DomainSource librariesWindowsDataWindows
Claims processing & adjudicationclaims, clmentry, clmforms, clmprint, clmrpt, clmshare, clmsproc, clmutils94553
Coordination of benefits & pre-existingcob, preex511
Enrollment & eligibilityenroll, enrollutils, enrolaud, enrolrpt57228
Billingbilling, billfunc18145
Funding, check runs & 1099sfunding, chkrundw, reprint62197
COBRA administrationcobra, cobradw, cobrarpt1389
Drug plansdrugplan651
Utilization & case managementum_main, um_maint, um_cm, um_ur40138
Stop-lossstoploss1247
Providers, PPO & repricingprovider, pricing, moon54182
Clients, groups & benefit plansclient, benplans, bensupport, sales63272
ID cardsidcard48
Service log / customer servicesvclog1026
System admin & securityhomersys, system, app_sec, base50139
Address standardization (Melissa Data "Mailers+4" — not email; see Integrations)mailobj, mailshr00
App shell & PFC frameworkhomer, homproj, pfc*, pfe*(infrastructure — see Architecture)

(Window/DataWindow counts computed from the extraction inventory.)