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HIPAA 835

Redix has developed a series of maps for the HIPAA 835 (Health Care Claim Payment/Advice) transaction. These maps have been fully tested and are ready to be integrated into the user’s applications. The maps are divided into two categories: the first is used to create an 835 file, and the second is used to convert an 835 file to some other file.

Prerequisites

To run these predefined maps, the user must have a Redix AnyToAny Format Converter Engine or Network Server-Based AnyToAny Format Converter Engine license.

 

Outbound: HIPAA 835
These maps are used to create an 835 file from another type of file:
Map NameSource Message TypeTarget Message TypeComments
RMAP_4_835_to_HIPAA_A1_NPI RMAP 835 Version 4 HIPAA 835 4010A1 with NPI Included in the RMAP Module
WPC_835_A1_to_HIPAA_A1 WPC XML 835 HIPAA 835 4010A1 Included in the WPC XML Module
Inbound: HIPAA 835
These maps are used to convert an incoming 835 file from another type of file:
Map NameSource Message TypeTarget Message TypeComments
HIPAA_A1_NPI_835_to_RMAP_4 HIPAA 835 4010A1 with NPI RMAP 835 Version 4 Included in the RMAP Module
HIPAA_A1_835_to_WPC_835_W1-HAND HIPAA 835 4010A1 WPC XML 835 4010A1 Included in the WPC XML Module
PDF_Bulk_HIPAA_837_Report HIPAA 835 (4010A1 with NPI) 835 PDF file (format designed by Redix). All remittance information in one PDF file. Included in PDF Module
  • Windows Server 2003 / Vista / 7 / Server 2008 / 8 / Server 2012 / 10 / Server 2016
  • UNIX (AIX 5.1+, Solaris 8/9/10, HP-UX 10+)
  • Linux (Red Hat, SUSE, etc.)
  • HIPAA

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