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HIPAA 837 Professional

Redix has developed a series of maps for the HIPAA 837 (Health Care Claim) Professional 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 Professional file, and the second is used to convert an 837 Professional 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 Professional
These maps are used to create an 837 Professional file from another type of file:
Map NameSource Message TypeTarget Message TypeComments
XML_CMS_1500_to_837 CMS 1500 in XML HIPAA 837 Professional 4010A1
HCFA_1500_to_H_A1_837_Prof HCFA 1500 Text Image HIPAA 837 Professional 4010A1
HCFA_NSF_20_to_HIPAA_A1_837_Prof_
Outbound
HCFA NSF Version 2.0 HIPAA 837 Professional 4010A1 Included in the HIPAA Package
HCFA_NSF_31_to_HIPAA_A1_837_Prof_
Outbound
HCFA NSF Version 3.1 HIPAA 837 Professional 4010A1 Included in the HIPAA Package
HCFA_WebMD_NSF_20_to_HIPAA_837_Prof_
Outbound
WebMD NSF Version 2.0 HIPAA 837 Professional 4010 Included in the HIPAA Package
HCFA_WebMD_NSF_20_to_HIPAA_A1_837_
Prof_Outbound
WebMD NSF Version 2.0 HIPAA 837 Professional 4010A1 Included in the HIPAA Package
RMAP_4_837P_to_HIPAA_A1_NPI RMAP 837 Professional Version 4 HIPAA 837 Professional 4010A1 with NPI Included in the RMAP Module
WPC_837_Q1_PRO_to_HIPAA_A1 WPC XML 837 Professional HIPAA 837 Professional 4010A1 Included in the WPC XML Module
Inbound: HIPAA 837 Professional
These maps are used to convert an 837 Professional file into another type of file:
Map NameSource Message TypeTarget Message TypeComments
HIPAA_837_Prof_to_HCFA_NSF_20_Outbound HIPAA 837 Professional 4010 HCFA NSF Version 2.0 Included in the HIPAA Package
HIPAA_837_Prof_to_HCFA_NSF_31_Outbound HIPAA 837 Professional 4010 HCFA NSF Version 3.1 Included in the HIPAA Package
HIPAA_A1_837_Prof_to_HCFA_NSF_20_
Outbound
HIPAA 837 Professional 4010A1 HCFA NSF Version 2.0 Included in the HIPAA Package
HIPAA_A1_837_Prof_to_HCFA_NSF_31_
Outbound
HIPAA 837 Professional 4010A1 HCFA NSF Version 3.1 Included in the HIPAA Package
HIPAA_837_Prof_to_HCFA_WebMD_NSF_20_
Outbound
HIPAA 837 Professional 4010 WebMD NSF Version 2.0 Included in the HIPAA Package
HIPAA_A1_837_Prof_to_HCFA_WebMD_NSF_
20_Outbound
HIPAA 837 Professional 4010A1 WebMD NSF Version 2.0 Included in the HIPAA Package
HIPAA_A1_NPI_837_Prof_to_RMAP_4 HIPAA 837 Professional 4010A1 with NPI RMAP 837 Professional Version 4 Included in the RMAP Module
HIPAA_A1_837P_to_WPC_837_Q1-HAND HIPAA 837 Professional 4010A1 WPC XML 837 Professional Included in the WPC XML Module
HIPAA_A1_837_Prof_to_HCFA_1500_OutboundPDF HIPAA 837 Professional A1 HCFA 1500 Form in PDF
PDF_CMS-1500-RAW_VIEW-PDFperClaim HIPAA 837 Professional (4010A1 with NPI) CMS 1500 PDF file. One claim per PDF file. Included in the PDF Module
PDF_CMS-1500-RAW_VIEW HIPAA 837 Professional (4010A1 with NPI) CMS 1500 PDF file. All claims per PDF file. Included in the PDF Module
PDF_HCFA-1500-RAW_VIEW-PDFperClaim HIPAA 837 Professional (4010A1 with NPI) HCFA 1500 PDF file. One claim in one PDF file. Included in the PDF Module
PDF_HCFA-1500-RAW_VIEW HIPAA 837 Professional (4010A1 with NPI) HCFA 1500 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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