Does your API support HIPAA Validations?
Our Integrated Rules Professional EDI supports the following Edit Types and compliance checking for HIPAA Types 1 through 7:
- Type 1 EDI Standard Integrity Testing: Validate basic syntactical integrity of the EDI submission.
- Type 2 HIPAA Implementation Guide Requirement Testing: Validate HIPAA requirement-guide-specific syntax requirement by checking limits on repeat counts, used or not used qualifiers, code, elements, and segments.
- Type 3 HIPAA Balance Testing: Validate that claim line items amounts are equal to total claim amount.
- Type 4 HIPAA Inter-Segment Situation Testing: Validate inter-segment relationship. For example, if element A exists, then element B must be populated.
- Type 5 HIPAA External Code Set Testing: Validate specific code set values for HIPAA standards.
- Type 6 Product Type/Type of Service Testing: Validate that segments that differ based on certain Healthcare services are properly created and processed.
- Type 7 Trading Partner-Specific Testing: Compliance with payer specific requirement.
Updated over 3 years ago