Redix HIPAA Package.
Complete HIPAA 5010 X12 EDI toolkit. All transaction set definitions, validation rules, pre-defined maps, and GUI Mapper with drag-and-drop mapping.
Runs on the AnyToAny Engine. Sub-150ms processing. Six SNIP/WEDI testing levels. X12 versions 4010 through 005010X.
Need FHIR R4 output? Convert HIPAA X12 to FHIR R4 bundles with the HIPAA X12 to FHIR Package. For CMS-0057-F Prior Authorization APIs (Da Vinci PAS), see the CMS-0057-F Compliance Suite.
What's Included
Transaction set definitions, validation rules, mapping assets, and EDI authoring tools for the full HIPAA 5010 portfolio.
GUI Mapper with EDI Authoring
Point-and-click map designer with drag-and-drop mapping and real-time, side-by-side translation view.
Pre-defined HIPAA X12 Maps
Ready-to-use mappings between HIPAA X12 and legacy HCFA/UB standards. Editable in the GUI Mapper.
HIPAA Data Definitions
Complete structures for every HIPAA transaction set, including segment definitions and validation rules.
SNIP/WEDI Testing
All six SNIP/WEDI testing levels for rigorous HIPAA validation and trading-partner testing.
HIPAA 5010 Transactions
Definitions and validation assets for the full HIPAA 5010 portfolio.
| Transaction | Code | Description |
|---|---|---|
| Claims | 837 | Institutional, Professional, and Dental claim submission |
| Remittance | 835 | Claim payment/advice and remittance detail |
| Eligibility | 270/271 | Eligibility and benefit inquiry/response |
| Claim Status | 276/277 | Claim status request/response |
| Prior Auth | 278 | Health care services review (prior authorization) |
| Enrollment | 834 | Benefit enrollment and maintenance |
| Payment | 820 | Premium payment |
Full portfolio. This table highlights common transactions. The HIPAA Package includes definitions and validation assets for all HIPAA 5010 transaction sets, plus legacy format support (NSF, UB, HCFA).
Key Features
Drag-and-Drop Mapping
Visual map designer with real-time, side-by-side translation view.
Map Reports & Auditing
Comprehensive map reports with sort and filter tools for easy auditing.
API Integration
REST API, batch processing, and language bindings (VB, C/C++, C#, Java).
Complete Validation
Six SNIP/WEDI testing levels for rigorous HIPAA validation and trading-partner testing.
Technical Specifications
| Specification | Value |
|---|---|
| Transaction Sets | All HIPAA 5010 |
| X12 Versions | 4010 through 005010X |
| Legacy Formats | NSF, UB, HCFA |
| Testing Levels | 6 SNIP/WEDI |
| API Languages | VB, C/C++, C#, Java, REST |
| Typical Latency | <150ms |
| Platforms | Linux, Windows, Docker |
Try HIPAA conversions live. Paste sample X12, convert to RMap, database, FHIR, or PDF. No API key required. Do not upload PHI.
Licensing
AnyToAny Engine
Required. Core conversion engine providing the single-pass architecture, IFD/OFD processing, and runtime environment.
HIPAA Package
This package. All HIPAA 5010 transaction set definitions, validation rules, pre-defined maps, GUI Mapper, and SNIP/WEDI testing.
HIPAA X12 to FHIR
Optional add-on. Convert HIPAA X12 transactions to FHIR R4 bundles with Provenance.
Modular pricing. The AnyToAny Engine is the core product required for all conversions. Each module is licensed separately based on your requirements. For CMS-0057-F compliance, see the CMS-0057-F Suite.