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Healthcare

Redix provides a suite of solutions to help enterprises exchange healthcare transactions electronically. The standards supported are:

  • X12: version 3051, 4010, 4020, 4030, 5010, 5020, 5030, 5040, 5050, etc.
  • HIPAA: version 4010, 4010A1, 5010, 5010A1/A2 - fully supported in Version 7 with the following new features:
    • HIPAA 5010 message definitions. This includes the 12 HIPAA transactions defined in ASC X12 TR3.
    • RMAP Module Version 5. This new RMAP product consists of a collection of 12 HIPAA 5010 maps. These maps convert a file in the Redix Internal format (RMAP) into a HIPAA 5010 file, and vice versa.
    • Maps between Version 4010A1 and 5010A1/A2. These maps convert HIPAA 4010 A1 transactions to 5010A1 transactions and vice cersa.
    • Two new PDF maps. One map converts an 837 Professional claim in 5010 format into a CMS 1500 PDF file, and the other map converts an 837 Institutional claim in 5010 format into a UB04 PDF file.
  • EDIFACT: version 93B, 94B, 95B, 96B, 97B, 98B, 99B, 00B, etc.
  • NCPDP Telecommunication: version 5.1 and D.0
  • NCPDP Batch: version 1.1
  • NCPDP Script: version 5.0, 8.1, and 10.6
  • NCPDP Prescription Transfer: version 1.0
  • HL7: version 2.3 and 2.4 and XML versions
  • NSF: version 2.1 and 3.0
  • UB92 fixed length flat file: version 5.0 and 6.0
  • HCFA 1500 and 1450 text image file
  • CMS 1500, UB04 PDF
  • HIPAA WPC XML Schema

Redix’s healthcare products include three types of engines, the GUI Mapper, optional add-on modules, the HIPAA Package, and several HIPAA predefined maps.

Engines

GUI Mapper Products

Modules

Predefined Maps

Redix HIPAA Compliance and Conversion Services Demo

You can test the HIPAA compliance and conversions using this link.

The conversions include the following types:

HIPAA Conversions

NCPDP Conversions

HL7 Conversions to FHIR


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