HIPAA to FHIR Package
Complete HIPAA X12 → FHIR R4 Conversion
Includes X12 278 Request → FHIR Prior Authorization (PAS) Support
⚠️ Need a Solution for the CMS-0057-F Mandate?
Use our X12 278 Request → FHIR R4 converter with Provenance support for full compliance.
HIPAA X12 to FHIR Transformation Package
Convert all 10 major HIPAA X12 transactions — including the CMS-mandated X12 278 Prior Authorization Request — into fully validated FHIR R4 bundles.
Powered by the Redix Any-to-Any Engine with 30 years of healthcare integration experience, this package delivers production-ready transformation, real-time validation, and comprehensive error reporting. Every bundle includes a FHIR Provenance resource to ensure data lineage and audit traceability.
Quick Facts
- ✓ 10 HIPAA X12 Transactions
- ✓ Full X12 → FHIR R4 Conversion
- 278 Prior Auth (Request) — CMS Mandate View Details
- ✓ Provenance Resource Included
- ✓ REST API + GUI
Supported HIPAA Transactions (X12 → FHIR R4)
🏆 Prior Authorization (CMS Mandated)
- 278 Request: → FHIR Claim + ServiceRequest (PAS)
- Provenance: Included for Audit Trail
Eligibility & Benefits — 270/271
- 270: → FHIR CoverageEligibilityRequest
- 271: → FHIR CoverageEligibilityResponse
Claim Status — 276/277
- 276: → FHIR Claim
- 277: → FHIR ClaimResponse
Claims — 837
- 837 Professional: → FHIR Claim
- 837 Institutional: → FHIR Claim + resources
Enrollment & Payment — 834/835
- 834: → FHIR Coverage / Patient / Org
- 835: → FHIR PaymentReconciliation
FHIR R4 Resource Mapping
278 Request — Prior Authorization
- Provenance (New! For Compliance)
- Claim
- ServiceRequest
- Coverage
- Patient / Practitioner / Organization
Common Resources
- All transactions include Provenance
- Patient
- Organization
Why Choose Redix HIPAA X12 to FHIR?
✓ Provenance Support
Automatically generates FHIR Provenance resources to track data origin, meeting strict CMS audit requirements.
✓ CMS-0057-F Ready
Supports X12 278 Request → FHIR R4 conversion to help Payers populate their FHIR servers.