Operations Runbook
This is the day-to-day operations manual for the MedSuite RCM platform. Where the New Customer Onboarding Guide takes you from a fresh install to first live claim, this runbook is what you reach for after that — when something is stuck, when a payer adds a rule, when a tenant needs to be moved to a new database server.
How this runbook is organized
The runbook is broken into nine task-shaped categories. Pick the one that matches the work in front of you.
Page template
Each chapter follows the same shape so you can scan it quickly:
- Outcome — what you'll have after this procedure.
- Prerequisites — what must already be true and links to predecessor work.
- Diagram — sequence or flow chart, where it helps.
- Steps — UI clicks first, with break-glass commands behind
<details>. - Validation — how to confirm success.
- Troubleshooting — common failures and fixes.
- Next — pointer to the related next chapter, where applicable.
Audience
- Platform admins (
PLATFORM_ADMIN) — full provisioning and impersonation. - Support engineers (
PLATFORM_SUPPORT) — read + limited write, can impersonate. - Tenant admins — most chapters that link out of an impersonation session apply.
If a chapter requires elevated rights beyond the reader's role, the Prerequisites section calls it out explicitly.
Daily-ops vs. incident response
Most chapters are routine daily-ops procedures (configure a payer, publish a
rule, refresh a view). A smaller set are incident-response playbooks flagged
with a 🚨 next to the chapter title — those are the pages you want bookmarked
when an alert fires.
Engineering reference
The original engineering-flavored runbook (OPERATIONS_RUNBOOK.md at the repo
root) remains as a SQL-heavy reference for engineers. This site is what platform
staff and tenant admins should use day to day. When the two disagree, this site
is canonical — file an issue against the engineering doc.
Categories
- Tenant Lifecycle — provisioning, suspension, sharding, restoration, impersonation.
- EDI & Trading Partners — payer onboarding, SFTP, companion guides, 278 lifecycle.
- Claims, Receivables & Denials — claim flow, 835 posting, COB waterfall, denials.
- Configuration & Reference Data — rules, modifiers, fee schedules, contracts.
- Ingestion — mappings, feed admin, fixed-width parsers.
- Clinical & Service Delivery — institutional billing, group sessions, eligibility sweeps.
- Reporting & Analytics — dashboards, batch jobs, KPI tracking.
- Security & Compliance — PHI keys, RBAC, audit log.
- Platform Infrastructure — pg-boss supervisor, tracing, deploy, secrets, env config.