Healthcare

Healthcare

Redix provides a suite of solutions to help enterprises exchange healthcare transactions electronically. The standards supported are:

X12: version 3051, 4010, 4020, 4030, 5010, 5020, 5030, 5040, 5050, etc.
HIPAA: version 4010, 4010A1, 5010 - fully supported in Version 7 with the following new features:
- HIPAA 5010 message definitions. This includes the 12 HIPAA transactions defined in HIPAA 5010.
- RMAP Module Version 5. This new RMAP product consists of a collection of 12 HIPAA 5010 maps. These maps convert a file in the Redix Internal format (RMAP) into a HIPAA 5010 file, and vice versa.
- XML Schema for HIPAA 5010. These include 12 XML schemas and a collection of 12 pre-defined maps. These maps convert an XML file that follows the Redix XML schema into a HIPAA 5010 file, and vice versa.
- Four new maps between Version 4010 and 5010. These maps convert HIPAA 837 Professional and Institutional claims between HIPAA 4010 and 5010.
- Two new PDF maps. One map converts an 837 Professional claim in 5010 format into a CMS 1500 PDF file, and the other map converts an 837 Institutional claim in 5010 format into a UB04 PDF file.
EDIFACT: version 93B, 94B, 95B, 96B, 97B, 98B, 99B, 00B, etc.
NCPDP Telecommunication: version 5.1 and D.0
NCPDP Batch: version 1.1
NCPDP Script: version 5.0
NCPDP Prescription Transfer: version 1.0
HL7: version 2.3 and 2.4 and XML versions
NSF: version 2.1 and 3.0
UB92 fixed length flat file: version 5.0 and 6.0
HCFA 1500 and 1450 text image file
CMS 1500, UB04 PDF
HIPAA WPC XML Schema

Redix’s healthcare products include three types of engines, the GUI Mapper, optional add-on modules, the HIPAA Package, and several HIPAA predefined maps.