Download BizTalk 2013 EDI for Health Care: HIPAA-Compliant 834 by Mark Beckner PDF

By Mark Beckner

BizTalk 2013 EDI for Healthcare – EDI 834Enrollment Solutions removes the complexity anddemonstrates find out how to construct either inbound and outbound EDI 834 tactics inBizTalk server that stick to the mandatory styles for integrations with theseexchanges.  Archiving, mapping,reconstituting EDI 837 information, exception dealing with and complex logging andreporting (without the necessity for BAM!) are all coated in sufficient aspect to allowyou to enforce your personal absolutely sensible resolution.

The cheap CareAct and the necessities to combine with country Exchanges have securedBizTalk’s position with integrations in the healthcare industry.  EDI 834 records are the center to allintegrations, facing enrollment and the upkeep of enrollments.  so that it will effectively combine with theexchanges, businesses are required to enforce a few architectural componentsthat could be daunting and intricate to paintings via. high quality assets for IT specialist to deal with those demanding situations are sorely wanted, and this source has been designed to supply concise solutions.

What you’ll learn

  • research easy methods to enhance whole finish to finish EDI 834 strategies, either inbound and outbound
  • Create a answer that demonstrates easy methods to combine with nation Exchanges
  • Explore suggestions for customized pipeline parts, archiving styles, lookups
  • Detailed info for complicated 834 EDI mapping

Who this publication is for

BizTalk directors and builders, in addition to administration group of workers hooked up with those positions.

Table of Contents

1.  Architectural Patterns

2.  Solution: Receiving 837P Data

3.  Solution: Sending 837P Data

4.  Mapping Data

5.  Adapters, AS2 and Acks

6.  Solution: Receiving 834 Data

7.  Pipelines for 834 Processing

8.  Custom enterprise Rules

9.  Advanced 834 Mapping

10.  Solution: Sending 834 Data

11.  Solution: Sending 834 facts, Simplified

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BizTalk 2013 EDI for Healthcare – EDI 834Enrollment ideas gets rid of the complexity anddemonstrates tips on how to construct either inbound and outbound EDI 834 tactics inBizTalk server that stick to the mandatory styles for integrations with theseexchanges.  Archiving, mapping,reconstituting EDI 837 facts, exception dealing with and complicated logging andreporting (without the necessity for BAM!

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Extra resources for BizTalk 2013 EDI for Health Care: HIPAA-Compliant 834

Example text

The second schema project will contain the proprietary ECSIF file schema structure. ECSIF files were very common on older claims management systems, and are a flat file structure, and will be referred to here and in several mapping discussions in this book. However, don’t let this name mislead you - any flat file that you may need to create a schema for will follow the exact same pattern as what is required for the ECSIF - just substitute your flat file name where appropriate. An example of the ECSIF schema structure is shown in Figure 2-2.

Any flat file schema that you may need to create can be created using BizTalk’s Flat File Schema Wizard, available when you add a new item to your Visual Studio project and select Schema Files. The Wizard is pretty involved, and allows for virtually any structure, simple or complex; however, figuring out how to configure things to produce the schema you are seeking can be a challenge. There are a number of great resources available on the internet to help you work with this Wizard. The schema projects (especially the X837P) are the foundation of many of the other projects you will be creating, as these other projects reference them.

ECSIF files were very common on older claims management systems, and are a flat file structure, and will be referred to here and in several mapping discussions in this book. However, don’t let this name mislead you - any flat file that you may need to create a schema for will follow the exact same pattern as what is required for the ECSIF - just substitute your flat file name where appropriate. An example of the ECSIF schema structure is shown in Figure 2-2. Figure 2-2. ECSIF Add a schema to your project that matches the flat file structure you are seeking.

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