HIPAA X12, HL7 & FHIR Conversion Engine — CMS-0057-F Compliance Ready

Safely bridge legacy X12 and HL7 workflows into FHIR APIs — meet CMS-0057-F while preserving operational stability.

Single-pass native C engine. Sub-150ms. On-premise. No JVM overhead. Trusted since 1994.

Explore CMS-0057-F Compliance Suite

Or launch AI Chat to describe your integration challenge.

Redix provides CMS-0057-F compliant Prior Authorization APIs while preserving your existing X12 workflows. Payers, providers, and clearinghouses use our on-premises engine to meet the 2027 mandate without rewriting production infrastructure.

From Our Team

For over 30 years, Redix has been in the business of making systems talk to each other. We started with EU trade compliance — customs declarations across 22 member states through TAXUD — and brought that same discipline to U.S. healthcare: HIPAA claims, eligibility, remittance, prior authorization, and enrollment.

Our approach has always been the same: understand the data formats deeply, build a fast engine to transform them, and stand behind our work with people you can reach directly. We take pride in putting a physical face on customer support, analysis, and implementation guidance — not a ticket queue.

What's new: We've extended the AnyToAny Engine into new territory:

  • AI-Assisted Conversion — Our AI Chat guides you through any healthcare data workflow, identifies the right tool, and runs conversions interactively
  • REST API — A modern client-server interface to the full conversion engine, so you can integrate Redix into your own systems
  • CMS-0057-F Prior Authorization — End-to-end 278 PAS compliance with FHIR, built on top of our existing X12 pipelines
  • Bidirectional FHIR — Convert any major HIPAA transaction to FHIR R4 and back, bridging legacy EDI to modern interoperability
  • MCP Server for AI Agents — 12 healthcare conversion tools via the Model Context Protocol, ready for Claude, Cursor, and any MCP-compatible client

Explore what we've built below, or launch the AI Chat to describe your integration challenge.

Established Infrastructure Since 1994

HIPAA Compliant
On-Premise
EU & North America
Native C Engine
<150ms Latency

Where to Start

Navigate by area of interest. Each section links to live tools and product pages.

HIPAA X12 Conversion

Parse, validate, and transform all major transaction types.

FHIR & Interoperability

Bidirectional: X12/HL7/CDA to FHIR and FHIR back to X12.

CMS-0057-F Compliance

Prior Authorization, ePA workflow demo, 278 PAS.

AI Chat, REST API & MCP

Intelligent assistant, programmatic API, and MCP server for AI agents.

Claims & Remittance to PDF

Convert 835 and 837 files into CMS-1500, UB-04, ADA, and remittance reports.

Services & Consultation

Custom mapping, training, implementation guidance.

X12 278 Request → FHIR PAS Bundle

X12 278 Input
BHT*0007*13*TRN123456*20241230~
HL*1**20*1~
NM1*PR*2*ACME HEALTH****PI*12345~
HL*2*1*21*1~
NM1*IL*1*DOE*JANE****MI*ABC123~
DMG*D8*19800115*F~
UM*HS*I*11**21~
HI*ABK:M5461~
SV1*HC:99213*150*UN*1~
FHIR PAS Output
{
  "resourceType": "Bundle",
  "type": "collection",
  "entry": [{
    "resource": {
      "resourceType": "Claim",
      "use": "preauthorization",
      "patient": {"reference": "Patient/1"},
      "insurer": {"reference": "Organization/2"},
      "diagnosis": [{
        "diagnosisCodeableConcept": {
          "coding": [{"code": "M5461"}]
      }}],
      "item": [{"productOrService": {
        "coding": [{"code": "99213"}]
      }}]
    }
  }]
}

Illustrative snippet · Da Vinci PAS v2.1.0 compliant · Full mapping supports payer-specific variations

Enterprise Healthcare Data Conversion Tools

X12 → RMap

Normalize payer-specific variants and maintain HIPAA maps without reading raw EDI segments.

837P 837I 835 834 278 270/271 276/277
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RMap → X12

Generate compliant X12 from RMap format. Companion guide rules applied automatically.

837P 837I 835 834 278
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X12 → Database

Load parsed X12 directly into PostgreSQL. Every segment, loop, and element queryable.

PostgreSQL 837 835 834
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Database → X12

Reconstruct X12 transactions from stored data. Roundtrip-safe.

PostgreSQL 837 835 834
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Claims → PDF

Generate CMS-1500, UB-04, ADA J400 forms from X12 claim data.

CMS-1500 UB-04 ADA J400
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X12 → FHIR

Convert HIPAA transactions to FHIR R4 bundles. Da Vinci PAS v2.1.0 compliant.

FHIR R4 278 837 835 270/271
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FHIR → RMap

Map FHIR resources back to RMap format. Bridge modern APIs to existing EDI workflows.

FHIR R4 Claim Patient Coverage
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CMS PAS 278

Prior authorization: X12 278 ↔ Da Vinci PAS. CMS-0057-F API set built in.

PAS v2.1.0 278 Req 278 Resp CRD/DTR
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HL7/CDA → FHIR

Clinical messages and documents to FHIR R4. ADT, ORM, ORU, MDM supported.

ADT ORM ORU MDM CDA
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CMS-0057-F Demo

End-to-end ePA workflow: check coverage, complete documentation, submit and track prior authorization.

CRD DTR PAS $submit $inquire
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MCP Server

12 healthcare conversion tools for AI agents. Connect Claude, Cursor, or any MCP client via STDIO or SSE.

Claude Cursor SSE 12 Tools
Learn more

Tools marked support CMS-0057-F and Da Vinci PAS compliance for the 2027 mandate.

Learn more Architecture: FHIR is an interface contract