CMS-0057-F / Da Vinci PAS compliance without replacing your X12 backend

Convert X12 278 Request to FHIR (with Provenance)

from redix_client import RedixClient

client = RedixClient(
    base_url="https://demo.redix.com",
    api_key="demo-key-12345"
)

# Convert X12 278 Request to FHIR
result = client.post("/api/v2/hipaa-to-fhir/278-request",
    files={"file": "/path/to/278_request.x12"}
)

# Result contains FHIR Claim bundle with Provenance
fhir_bundle = result["fhir_bundle"]
print(f"Resource Type: {fhir_bundle['resourceType']}")
print(f"Entries: {len(fhir_bundle.get('entry', []))}")

# Extract Provenance for audit trail (CMS-0057-F requirement)
for entry in fhir_bundle.get("entry", []):
    resource = entry.get("resource", {})
    if resource.get("resourceType") == "Provenance":
        print(f"Recorded: {resource.get('recorded')}")
        print(f"Activity: {resource.get('activity', {}).get('coding', [{}])[0].get('display')}")

Convert X12 278 Response to FHIR ClaimResponse

# Convert X12 278 Response to FHIR ClaimResponse
result = client.post("/api/v2/hipaa-to-fhir/278-response",
    files={"file": "/path/to/278_response.x12"}
)

fhir_response = result["fhir_bundle"]
for entry in fhir_response.get("entry", []):
    resource = entry.get("resource", {})
    if resource.get("resourceType") == "ClaimResponse":
        print(f"Status: {resource.get('status')}")
        print(f"Outcome: {resource.get('outcome')}")
        # CMS-0057-F requires specific denial reasons
        if resource.get('outcome') == 'error':
            for error in resource.get('error', []):
                print(f"Denial Reason: {error.get('code', {}).get('text')}")

Convert FHIR PAS Bundle to X12 278 (Scoped Reverse Direction)

import json

# Load a validated FHIR PAS bundle for a scoped reverse-conversion review
with open("fhir_claim_bundle.json", "r") as f:
    fhir_bundle = json.load(f)

# Full pipeline: FHIR to X12 278 in one call
x12_result = client.post("/api/v2/fhir-to-hipaa/278-request",
    json=fhir_bundle,
    headers={"Content-Type": "application/fhir+json"}
)

# Submit X12 278 to legacy authorization system
x12_content = x12_result.get("x12_content")

Reverse FHIR to X12 access is scoped for private technical review or deployment evaluation.