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HIPAA 837 Institutional

Redix has developed a series of maps for the HIPAA 837 (Health Care Claim) Institutional 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 837 Institutional file, and the second is used to convert an 837 Institutional 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 837 Institutional
These maps are used to create an 837 Institutional file from another type of file:
Map NameSource Message TypeTarget Message TypeComments
XML_CMS_UB04_to_837 CMS UB04 in XML HIPAA 837 Institutional 4010A1
HCFA_UB92_50_to_HIPAA_A1_837_Inst_
Outbound
HCFA UB92 Version 5.0 HIPAA 837 Institutional 4010A1 Included in the HIPAA Package
HCFA_UB92_50_OP_to_HIPAA_A1_837_
Inst_Outbound
HCFA UB92 Version 5.0 (using signed overpunch) HIPAA 837 Institutional 4010A1 Included in the HIPAA Package
HCFA_UB92_60_to_HIPAA_A1_837_Inst_
Outbound
HCFA UB92 Version 6.0 HIPAA 837 Institutional 4010A1 Included in the HIPAA Package
HCFA_UB92_50_to_HIPAA_837_Inst_Outbound HCFA UB92 Version 5.0 HIPAA 837 Institutional 4010 Included in the HIPAA Package
HCFA_UB92_60_to_HIPAA_A1_837_Inst_
Outbound
HCFA UB92 Version 6.0 HIPAA 837 Institutional 4010A1 Included in the HIPAA Package
RMAP_4_837I_to_HIPAA_A1_NPI RMAP 837 Institutional Version 4 HIPAA 837 Institutional 4010A1 with NPI Included in the RMAP Module
WPC_837_Q3_INS_to_HIPAA_A1 WPC XML 837 Institutional HIPAA 837 Institutional 4010A1 Included in the WPC XML Module
Inbound: HIPAA 837 Institutional
These maps are used to convert an 837 Institutional file into another type of file:
Map NameSource Message TypeTarget Message TypeComments
HIPAA_837_Inst_to_HCFA_UB92_50_Outbound HIPAA 837 Institutional 4010 HCFA UB92 Version 5.0 Included in the HIPAA Package
HIPAA_837_Inst_to_HCFA_UB92_60_Outbound HIPAA 837 Institutional 4010 HCFA UB92 Version 6.0 Included in the HIPAA Package
HIPAA_A1_837_Inst_to_HCFA_UB92_50_
Outbound
HIPAA 837 Institutional 4010A1 HCFA UB92 Version 5.0 Included in the HIPAA Package
HIPAA_A1_837_Inst_to_HCFA_UB92_60_
Outbound
HIPAA 837 Institutional 4010A1 HCFA UB92 Version 6.0 Included in the HIPAA Package
HIPAA_A1_NPI_837_Inst_to_RMAP_4 HIPAA 837 Institutional 4010A1 with NPI RMAP 837 Institutional Version 4 Included in the RMAP Module
HIPAA_A1_837I_to_WPC_837_Q3-HAND HIPAA 837 Institutional 4010A1 WPC XML 837 Institutional Included in the WPC XML Module
HIPAA_A1_837_Inst_to_HCFA_1450_OutboundPDF HIPAA 837 Institutional 4010A1 HCFA 1450 UB92 Form in PDF
PDF_CMS-UB04-RAW_VIEW-PDFperClaim HIPAA 837 Institutional (4010A1 with NPI) CMS UB04 PDF file. One claim per PDF file. Included in the PDF Module
PDF_CMS-UB04-RAW_VIEW HIPAA 837 Institutional (4010A1 with NPI) CMS UB04 PDF file. All claims in one PDF file. Included in the PDF Module
PDF_HCFA-UB92-RAW_VIEW-PDFperClaim HIPAA 837 Institutional 4010A1 HCFA UB92 PDF file. One claim per PDF file. Included in the PDF Module
PDF_HCFA-UB92-RAW_VIEW HIPAA 837 Institutional 4010A1 HCFA UB92 PDF file. All claims in one PDF file. Included in the 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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