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HIPAA 837 Professional
Redix has developed a series of maps for the HIPAA 837 (Health Care Claim) Professional 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 Professional file, and the second is used to convert an 837 Professional 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 Professional
These maps are used to create an 837 Professional file from another type of file:
| Map Name | Source Message Type | Target Message Type | Comments |
| XML_CMS_1500_to_837 | CMS 1500 in XML | HIPAA 837 Professional 4010A1 | |
| HCFA_1500_to_H_A1_837_Prof | HCFA 1500 Text Image | HIPAA 837 Professional 4010A1 | |
| HCFA_NSF_20_to_HIPAA_A1_837_Prof_ Outbound |
HCFA NSF Version 2.0 | HIPAA 837 Professional 4010A1 | Included in the HIPAA Package |
| HCFA_NSF_31_to_HIPAA_A1_837_Prof_ Outbound |
HCFA NSF Version 3.1 | HIPAA 837 Professional 4010A1 | Included in the HIPAA Package |
| HCFA_WebMD_NSF_20_to_HIPAA_837_Prof_ Outbound |
WebMD NSF Version 2.0 | HIPAA 837 Professional 4010 | Included in the HIPAA Package |
| HCFA_WebMD_NSF_20_to_HIPAA_A1_837_ Prof_Outbound |
WebMD NSF Version 2.0 | HIPAA 837 Professional 4010A1 | Included in the HIPAA Package |
| RMAP_4_837P_to_HIPAA_A1_NPI | RMAP 837 Professional Version 4 | HIPAA 837 Professional 4010A1 with NPI | Included in the RMAP 4 Module |
| WPC_837_Q1_PRO_to_HIPAA_A1 | WPC XML 837 Professional | HIPAA 837 Professional 4010A1 | Included in the WPC XML Module |
| RMAP_5_837P_to_HIPAA_5010_A1 | RMAP 837 Professional Version 5 | HIPAA 837 Professional 5010A1 | Included in the RMAP 5 Module |
Inbound: HIPAA 837 Professional
These maps are used to convert an 837 Professional file into another type of file:
| Map Name | Source Message Type | Target Message Type | Comments |
| HIPAA_837_Prof_to_HCFA_NSF_20_Outbound | HIPAA 837 Professional 4010 | HCFA NSF Version 2.0 | Included in the HIPAA Package |
| HIPAA_837_Prof_to_HCFA_NSF_31_Outbound | HIPAA 837 Professional 4010 | HCFA NSF Version 3.1 | Included in the HIPAA Package |
| HIPAA_A1_837_Prof_to_HCFA_NSF_20_ Outbound |
HIPAA 837 Professional 4010A1 | HCFA NSF Version 2.0 | Included in the HIPAA Package |
| HIPAA_A1_837_Prof_to_HCFA_NSF_31_ Outbound |
HIPAA 837 Professional 4010A1 | HCFA NSF Version 3.1 | Included in the HIPAA Package |
| HIPAA_837_Prof_to_HCFA_WebMD_NSF_20_ Outbound |
HIPAA 837 Professional 4010 | WebMD NSF Version 2.0 | Included in the HIPAA Package |
| HIPAA_A1_837_Prof_to_HCFA_WebMD_NSF_ 20_Outbound |
HIPAA 837 Professional 4010A1 | WebMD NSF Version 2.0 | Included in the HIPAA Package |
| HIPAA_A1_NPI_837_Prof_to_RMAP_4 | HIPAA 837 Professional 4010A1 with NPI | RMAP 837 Professional Version 4 | Included in the RMAP 4 Module |
| HIPAA_A1_837P_to_WPC_837_Q1-HAND | HIPAA 837 Professional 4010A1 | WPC XML 837 Professional | Included in the WPC XML Module |
| HIPAA_A1_837_Prof_to_HCFA_1500_OutboundPDF | HIPAA 837 Professional A1 | HCFA 1500 Form in PDF | Separate Product |
| PDF_CMS-1500-RAW_VIEW-PDFperClaim | HIPAA 837 Professional (4010A1 with NPI) | CMS 1500 PDF file. One claim per PDF file. | Included in the PDF Module |
| PDF_CMS-1500-RAW_VIEW | HIPAA 837 Professional (4010A1 with NPI) | CMS 1500 PDF file. All claims per PDF file. | Included in the PDF Module |
| PDF_HCFA-1500-RAW_VIEW-PDFperClaim | HIPAA 837 Professional (4010A1 with NPI) | HCFA 1500 PDF file. One claim in one PDF file. | Included in the PDF Module |
| PDF_HCFA-1500-RAW_VIEW | HIPAA 837 Professional (4010A1 with NPI) | HCFA 1500 PDF file. All claims in one PDF file. | Included in the PDF Module |
| HIPAA_5010_A1_837_Prof_to_RMAP_5 | HIPAA 837 Professional 5010A1 | RMAP 837 Professional 5010A1 | Included in the RMAP 5 Module |
| HIPAA_5010_A1_837_Prod_to_CMS_1500_ |
HIPAA 837 Professional 5010A1 | CMS 1500 PDF file. One claim per PDF file. | Separate Product |
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