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 [1], 5020, 5030, 5040, 5050, etc.
• HIPAA: version 4010, 4010A1, 5010, 5010A1/A2 [1] - fully supported in Version 7 with the following new features:
  • HIPAA 5010 [1] message definitions. This includes the 12 HIPAA transactions defined in ASC X12 TR3.
  • RMAP Module [2] Version 5. This new RMAP product consists of a collection of 12 HIPAA 5010 [1] maps. These maps convert a file in the Redix Internal format (RMAP) [2] into a HIPAA 5010 file [1], and vice versa.
  • Maps between Version 4010A1 and 5010A1/A2 [1]. These maps convert HIPAA 4010 A1 transactions to 5010A1 transactions and vice cersa.
  • Two new PDF maps [3]. 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 [4]: version 5.1 and D.0
• NCPDP Batch [4]: version 1.1
• NCPDP Script [4]: version 5.0, 8.1, and 10.6
• NCPDP Prescription Transfer [4]: version 1.0
• HL7 [5]: 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 [3]
• HIPAA WPC XML Schema [6]

Redix’s healthcare products include three types of engines, the GUI Mapper, optional add-on modules, the HIPAA Package [7], and several HIPAA predefined maps.

Engines

• AnyToAny Format Converter Engine [8]
• Network Server Based AnyToAny Format Converter Engine [9]
• AnyToXML Format Converter Engine [10]

GUI Mapper Products

• GUI Mapper with EDI Authoring Tools [11]
• HIPAA Package [7]

Modules

• NCPDP Module [4]
• HL7 Module [5]
• PDF Module [3]
• Database Module [12]
• XML Module [13]
• WPC-XML Module [6]
• RMAP Module [2]

Predefined Maps

• 837 Professional [14]
• 837 Institutional [15]
• 837 Dental [16]
• 270 [17]
• 271 [18]
• 276 [19]
• 277 [20]
• 278 Request [21]
• 278 Response [22]
• 820 [23]
• 834 [24]
• 835 [25]

Redix HIPAA Compliance and Conversion Services Demo

You can test the HIPAA compliance and conversions using this link [26].

The conversions include the following types:

HIPAA Conversions

• HIPAA 837 and 835 to PDF [27]
• HIPAA to CSV or Redix RMap [28]
• CSV or Redix RMap to HIPAA [29]
• HIPAA to XML [30]
• XML to HIPAA [31]
• HIPAA 837 P/I/D to 837R [32]

NCPDP Conversions

• NCPDP D.0 to CSV or Redix RMap [33]
• CSV or Redix RMap to NCPDP D.0 [34]

HL7 Conversions to FHIR

• HL7 2.x to FHIR [35]
• C-CDA to FHIR [36]