Frequently Asked Questions (RMAP Module)

• What is the Redix RMAP module?
• What is the purpose of Redix developing the RMAP module?
• What are the advantages of using the RMAP module?
• Can the Redix RMAP module be licensed alone?
• What does the RMAP module include?

What is the Redix RMAP module?

RMAP is the shorthand term for “Redix Map for HIPAA.” The RMAP module consists of a collection of HIPAA maps. These maps convert to and from the HIPAA healthcare standards and Redix's internal formats. The Redix internal formats are CSV (Comma Separated Value) formats that encapsulate HIPAA data into a more concise, usable, and readable format, simplifying healthcare EDI mapping.

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What is the purpose of Redix developing the RMAP module?

Many healthcare companies have been using the UB92 or NSF standards in the past for healthcare claims. Unfortunately, both the UB92 and NSF standards do not contain all the data that HIPAA requires. Therefore, when converting a HIPAA message into a UB92 message, some HIPAA data will not be passed. On the other hand, some healthcare users do not support the X12 or HIPAA standards, nor do they support the NSF or UB92 standards. Instead, they use a proprietary file format for healthcare claims or eligibility checking. Their claim data are stored in databases, and they need to generate HIPAA messages from their databases.

RMAP was developed to streamline the process and remain completely HIPAA compliant. RMAP is a much simpler data format that preserves all HIPAA-mandated data, fostering healthcare EDI automation.

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What are the advantages of using the RMAP module?

Advantages of using the RMAP module for your HIPAA data mapping needs include:

Smaller file sizes; fewer records and fields, making it much easier to develop and manage healthcare data.
Easier to understand from a business perspective.
Quicker translation time, enhancing EDI integration healthcare.
An easier way to query to and from databases.
A provided crosswalk shows how each RMAP element maps to a HIPAA element, ensuring compliance.

As a result, many clients have adopted the Redix RMAP formats as their own internal database format for storing healthcare data, a testament to its effectiveness in EDI solutions for healthcare.

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Can the Redix RMAP module be licensed alone?

No, the RMAP module is an add-on module for the Redix AnyToAny Format Converter Engine. Users will also need to license the Redix AnyToAny Format Converter Engine to utilize RMAP's mapping capabilities.

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What does the RMAP module include?

The RMAP module consists of maps for each HIPAA transaction. The maps are also divided into two categories: HIPAA to RMAP (for users receiving HIPAA files) and RMAP to HIPAA (for users submitting HIPAA files). These comprehensive map sets are key for seamless HIPAA data exchange.

HIPAA to RMAP:

RMAP to HIPAA:

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