Validate data form and content

Trigger: An electronic data transmission or digital document arrives at the insurer's intake system.

1. Ingest the incoming data file or document
2. Parse the data to verify structural and format compliance
3. Check for the presence of all mandatory fields
4. Cross-reference content against master eligibility and provider databases
5. Identify and flag syntax errors, invalid codes, or logic discrepancies
6. Pass validated records to downstream systems
7. Route flagged exceptions to remediation queues or return them to the sender

Outcome: The data is verified for structural integrity and factual accuracy, allowing clean records to proceed to core processing while routing errors for remediation.