HIPAA 837 Institutional

Redix has developed a series of maps for the HIPAA 837 (Health Care Claim) Institutional 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 837 Institutional file, and the second is used to convert an 837 Institutional 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 837 Institutional

These maps are used to create an 837 Institutional file from another type of file:

Map Name	Source Message Type	Target Message Type	Comments
XML_CMS_UB04_to_837	CMS UB04 in XML	HIPAA 837 Institutional 4010A1
HCFA_UB92_50_to_HIPAA_A1_837_Inst_ Outbound	HCFA UB92 Version 5.0	HIPAA 837 Institutional 4010A1	Included in the HIPAA Package
HCFA_UB92_50_OP_to_HIPAA_A1_837_ Inst_Outbound	HCFA UB92 Version 5.0 (using signed overpunch)	HIPAA 837 Institutional 4010A1	Included in the HIPAA Package
HCFA_UB92_60_to_HIPAA_A1_837_Inst_ Outbound	HCFA UB92 Version 6.0	HIPAA 837 Institutional 4010A1	Included in the HIPAA Package
HCFA_UB92_50_to_HIPAA_837_Inst_Outbound	HCFA UB92 Version 5.0	HIPAA 837 Institutional 4010	Included in the HIPAA Package
HCFA_UB92_60_to_HIPAA_A1_837_Inst_ Outbound	HCFA UB92 Version 6.0	HIPAA 837 Institutional 4010A1	Included in the HIPAA Package
RMAP_4_837I_to_HIPAA_A1_NPI	RMAP 837 Institutional Version 4	HIPAA 837 Institutional 4010A1 with NPI	Included in the RMAP 4 Module
WPC_837_Q3_INS_to_HIPAA_A1	WPC XML 837 Institutional	HIPAA 837 Institutional 4010A1	Included in the WPC XML Module
RMAP_5_837I_to_HIPAA_5010_A2	RMAP 837 Institutional Version 5	HIPAA 837 Institutional 5010A2	Included in the RMAP 5 Module

Inbound: HIPAA 837 Institutional

These maps are used to convert an 837 Institutional file into another type of file:

Map Name	Source Message Type	Target Message Type	Comments
HIPAA_837_Inst_to_HCFA_UB92_50_Outbound	HIPAA 837 Institutional 4010	HCFA UB92 Version 5.0	Included in the HIPAA Package
HIPAA_837_Inst_to_HCFA_UB92_60_Outbound	HIPAA 837 Institutional 4010	HCFA UB92 Version 6.0	Included in the HIPAA Package
HIPAA_A1_837_Inst_to_HCFA_UB92_50_ Outbound	HIPAA 837 Institutional 4010A1	HCFA UB92 Version 5.0	Included in the HIPAA Package
HIPAA_A1_837_Inst_to_HCFA_UB92_60_ Outbound	HIPAA 837 Institutional 4010A1	HCFA UB92 Version 6.0	Included in the HIPAA Package
HIPAA_A1_NPI_837_Inst_to_RMAP_4	HIPAA 837 Institutional 4010A1 with NPI	RMAP 837 Institutional Version 4	Included in the RMAP 4 Module
HIPAA_A1_837I_to_WPC_837_Q3-HAND	HIPAA 837 Institutional 4010A1	WPC XML 837 Institutional	Included in the WPC XML Module
HIPAA_A1_837_Inst_to_HCFA_1450_OutboundPDF	HIPAA 837 Institutional 4010A1	HCFA 1450 UB92 Form in PDF	Separate Product
PDF_CMS-UB04-RAW_VIEW-PDFperClaim	HIPAA 837 Institutional (4010A1 with NPI)	CMS UB04 PDF file. One claim per PDF file.	Included in the PDF Module
PDF_CMS-UB04-RAW_VIEW	HIPAA 837 Institutional (4010A1 with NPI)	CMS UB04 PDF file. All claims in one PDF file.	Included in the PDF Module
PDF_HCFA-UB92-RAW_VIEW-PDFperClaim	HIPAA 837 Institutional 4010A1	HCFA UB92 PDF file. One claim per PDF file.	Included in the PDF Module
PDF_HCFA-UB92-RAW_VIEW	HIPAA 837 Institutional 4010A1	HCFA UB92 PDF file. All claims in one PDF file.	Included in the PDF Module
HIPAA_5010_A2_837_Inst_to_RMAP_5	HIPAA 837 Institutional 5010A2	RMAP 837 Institutional Version 5	Included in the RMAP 5 Module
HIPAA_5010_A2_837_Inst_to_UB04_PDF	HIPAA 837 Institutional 5010A2	CMS UB04 PDF file. One claim per PDF file.	Separate Product