HIPAA 835

HIPAA 835

Redix has developed a series of maps for the HIPAA 835 (Health Care Claim Payment/Advice) transaction. These maps have been fully tested and are ready to be integrated into the user’s applications. The maps are divided into two categories: the first is used to create an 835 file, and the second is used to convert an 835 file to some other file.

Prerequisites

To run these predefined maps, the user must have a Redix AnyToAny Format Converter Engine or Network Server-Based AnyToAny Format Converter Engine license.

Outbound: HIPAA 835

These maps are used to create an 835 file from another type of file:

Map Name	Source Message Type	Target Message Type	Comments
RMAP_4_835_to_HIPAA_A1_NPI	RMAP 835 Version 4	HIPAA 835 4010A1 with NPI	Included in the RMAP 4 Module
WPC_835_A1_to_HIPAA_A1	WPC XML 835	HIPAA 835 4010A1	Included in the WPC XML Module
RMAP_5_835_to_HIPAA_5010	RMAP 835 Version 5	HIPAA 5010 A1 835	Included in the RMAP 5 Module

Inbound: HIPAA 835

These maps are used to convert an incoming 835 file from another type of file:

Map Name	Source Message Type	Target Message Type	Comments
HIPAA_A1_NPI_835_to_RMAP_4	HIPAA 835 4010A1 with NPI	RMAP 835 Version 4	Included in the RMAP 4 Module
HIPAA_A1_835_to_WPC_835_W1-HAND	HIPAA 835 4010A1	WPC XML 835 4010A1	Included in the WPC XML Module
PDF_Bulk_HIPAA_837_Report	HIPAA 835 (4010A1 with NPI)	835 PDF file (format designed by Redix). All remittance information in one PDF file.	Separate Product
HIPAA_5010_A1_835_to_RMAP_5	HIPAA 835 5010A1	RMAP 835 Version 5	Included in the RMAP 5 Module
HIPAA_5010_A1_835_to_Remit_PDFs	HIPAA 835 5010A1	835 PDF file (format designed by Redix). All remittance information in one PDF file.	Separate Product