HIPAA Package

Redix International, Inc. has a HIPAA package dedicated to the HealthCare industry.  This package includes the following:

• Redix AnyToAny Converter Engine
  

• Redix GUI Mapper with EDI Authoring Tools
  

• HIPAA database, which incorporates all the HIPAA (Health Insurance Portability and Accountability Act) transaction sets: 
  

  • 270/271: Health Care Eligibility/Benefit Inquiry and Information Response
    

  • 276/277: Health Care Claim Status Request and Response
    

  • 278: Health Care Services Review -- Request for Review and Response
    

  • 834: Benefit Enrollment and Maintenance
    

  • 835: Health Care Claim Payment/Advice
    

  • 837: Health Care Claim: Institutional
    

  • 837: Health Care Claim: Dental
    

  • 837: Health Care Claim: Professional
    

• Supports Six Levels of Testing recommended by WEDI/SNIP.

• Various X12 databases, including the X12 standard Version 4010, 4020, and 4030 
  

• HCFA (Health Care Financing Administration) database, which includes the NSF Version 3.1 and the UB92 standard Version 5.0, and 6.0
  

• Pre-defined maps between the HIPAA Professional Transaction Set and the HCFA NSF standard
  
                  HIPAA 837 Professional to NSF 3.1
                  NSF 3.1 to HIPAA 837 Professional
  
                  HIPAA 837 Professional to HCFA 1500 Form
   

• Pre-defined maps between the HIPAA Institutional Transaction Set and the HCFA UB92 standard
  
                  UB92 5.0/6.0 to HIPAA 837 Institutional
                  HIPAA 837 Institutional to UB92 5.0/6.0
  
                  HIPAA 837 Institutional to HCFA UB92 (1450) Form
   

• Pre-defined maps between the Interactive Eligibility Request (IHCEBI) and the HIPAA 270 Transaction Set
  

• Pre-defined maps between the Interactive Eligibility Response (IHCEBR) and the HIPAA 271 Transaction Set
   

• Automatically Generate DTD and W3C Schema for the HIPAA transaction sets
  
  
  Additional Information:
  

• The Converter Engine is available in both the Windows and UNIX platforms.  UNIX platforms include AIX, DEC UNIX, Sun Solaris, SVR4, and the HP-UX operating systems.
  

• All the pre-defined maps can be cloned and modified to accommodate the user's requirements. 
  

• View the translations simultaneously, while performing drag-and-drop operations between two tree structures.
  

• With optional AnyToXML Format Converter Engine, the HIPAA messages can be converted to XML, based on the RosettaNet or BizTalk guidelines
  

• This HIPAA package consists of complete map reports with sorting capabilities.
  

• ThisHIPAA package can generate Interface statements in Visual Basic, C++/C, or Java(TM).

• Benchmark results of the Redix HIPAA package can be found here.

You can view the presentation material made by Dr. Pen Chiang and Randall King on the conference of "E-Commerce and HealthCare: The Final Frontier". The conference, sponsored by DISA and HIBCC, was held on Oct. 28-30, 1998 in Chicago.