Quick Start to HIPAA Inbound Processing

In this section:

How to:

The inbound channel configuration that is described in this section transforms 4010 and 5010 versions of HIPAA inbound messages. The channel produces an XML output representation of the HIPAA inbound messages. It generates a functional acknowledgement (997) document, an XML validation report, and routes transformed XML to a designated folder based on the success or failure of the HIPAA validation. The output files are routed to the following defined directories:

The transformed XML document will reside in the good or bad directory, depending on the validation rules that are specified.


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Requirements

The following are required in order to create the HIPAA inbound processing channel:


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Version 4010 and 5010 Inbound Split Archive Channel

The following archived channel (Hipaa_IB_Split_Version_Channel.zip) can be used to split inbound 4010 and 5010 HIPAA. This channel will read the inbound HIPAA data and determine its version. The EDI will be written to either a 4010 or 5010 folder.

Note: For your convenience, the Hipaa_IB_Split_Version_Channel.zip file is attached to thisPDF. For PDF-compatibility purposes, the file extension of theHipaa_IB_Split_Version_Channel.zip file is temporarily renamed to .zap. After saving thisfile to your file system, you must rename this extension back to .zip before it can be importedto iWay Service Manager.

Another channel can be started to listen on a specific version folder and process the information accordingly. For example, if the attached HipaatoXML_IB_QS_AckRpt_pflow_Channel listens on the 5010 version folder, then another channel containing 4010 ebixes can listen on the 4010 version folder to process HIPAA 4010 data.


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Procedure: How to Download and Save the HIPAA Ebix

In order to download and save the HIPAA Ebix:

  1. Enter the following URL in a web browser:
    http://techsupport.informationbuilders.com

  2. On the right-hand side of the webpage, click My Downloads/Shipment.

    A logon window is displayed.

  3. Login using your Global ID and password.

    Note: If you do not have a Global ID and password, you must contact iWay Technical support.

  4. Download the following HIPAA Ebix files:
    • HIPAA_5010_pipeline.ebx
    • HIPAA_5010X212_Pipeline.ebx
  5. Save the downloaded HIPAA Ebix files to the following directory
    <iWaySMHOME>\etc\manager\packages

    where:

    <iWaySMHOME>

    Is the directory where iWay Service Manager is installed (for example, C:\Program Files\iWay61).

  6. Save the HIPAAToXML_IB_QS_AckRpt_Pflow_Channel.zip file, which is attached to this manual, to the following directory:
    <iWAYSMHOME>\etc\repository\manager\archives

    where:

    <iWAYSMHOME>

    Is the directory where iWay Service Manager is installed (for example, C:\Program Files\iWay61).

    For example:

  7. Create a HIPAA output directory structure on your file system (C or D drive), as shown in the following image.

    In this example, the HIPAA output directory structure was created on the local C drive.


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Procedure: How to Import Components from a Repository Archive

To import components from a repository archive:

  1. In the iWay Service Manager Administration Console, click Tools in the top pane, and then Archive Manager in the left pane.
  2. Select Import components from a repository archive and click Next, as shown in the following image.

  3. Select HIPAAToXML_IB_QS_AckRpt_Pflow_Channel.zip and click Next.
  4. Select HIPAAToXML_IB_QS_AckRpt_Pflow_Channel and click Next, as shown in the following image.

    A pane telling you whether the import was a success or not appears.

  5. If the import is successful, click Finish

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Procedure: How to Update Inbound Registers

If your HIPAA output directory structure was created on a local drive other than C, then you must update the inbound registers. To update the inbound registers:

  1. In the iWay Service Manager Administration Console, click Registry in the top pane, and then Registers.
  2. Click the HIPAA File Register under the name column.

  3. In the Value column, update the drive letter where the HIPAA output directory structure was created, as shown in the following image.

  4. Once the drive letters are updated, click Finish.

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Procedure: How to Upload the Ebix to iWay Service Manager

To upload the Ebix to iWay Service Manager:

  1. In the iWay Service Manager Administration Console, click Registry in the top pane, and then Ebix in the left pane.
  2. Click the Add button.
  3. Click Browse and navigate to the directory where the two Ebix files you downloaded previously are saved.

  4. Select the HIPAA_5010_pipeline.ebx file.

  5. Click Next.

    The New Ebix pane is displayed, as shown in the following image.

  6. Enter a unique name to identify this Ebix and click Finish.
  7. Click Add.
  8. Click Browse and navigate to the directory where the two Ebix files you downloaded previously are saved.

  9. Select the HIPAA_5010X212_pipeline.ebx file.

  10. Click Next.

    The New Ebix pane is displayed, as shown in the following image.

  11. Enter a unique name to identify this Ebix in iSM and click Finish.

    Note: HIPAA Version 5010 may require multiple Ebix attachements to channels that are dependent on the transactions that are being processed. If this is the case, then you must repeat steps 2 through 6.


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Procedure: How to Add Ebix Components to a Channel

To add the Ebix components to a channel:

  1. In the iWay Service Manager Administration Console, click Registry in the top pane, and then Channels in the left pane.
  2. Click the number on the Ebix column for HipaaToXML_IB_QS_AckRpt_Pflow_Channel.

  3. Click the Add button.
  4. Check the Hipaa_5010_pipeline_ebix and the HIPAA_5010X212_pipeline_ebixcomponent created previously.
  5. Click Finish.

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Procedure: How to Build, Deploy, and Test Your Channel

To build, deploy, and test your channel:

  1. In the iWay Service Manager Administration Console, click Registry in the top pane, and then Channels in the left pane.
  2. Click on the channel: HIPAAToXML_IB_QS_AckRpt_Pflow_Channel.
  3. Click Build.

    The following pane appears.

  4. Click Deployments at the top of the screen.
  5. Click the Deploy button
  6. Select HIPAAToXML_IB_QS_AckRpt_Pflow_Channel and click the Deploy button.

  7. Click the red X under the Status column.

    A green check mark appears under the Status column as shown in the following image.

    The channel is ready to accept inbound data.

  8. Copy the following HIPAA test files that are provided:
    • HIPAA_276_5010x212_good_sample.data
    • HIPAA_276_5010x212_bad_sample.data
  9. Paste the HIPAA test files to the following input directory:
    C:\Hipaa\inputdir\hipaa_xml

    The HIPAA XML output files are copied to the corresponding subdirectories in the HIPAA output directory structure, as shown in the following image.


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