By Mark Beckner

BizTalk 2013 EDI for Healthcare – EDI 834Enrollment Solutions removes the complexity anddemonstrates tips on how to construct either inbound and outbound EDI 834 approaches inBizTalk server that stick with the necessary styles for integrations with theseexchanges.  Archiving, mapping,reconstituting EDI 837 information, exception dealing with and complicated logging andreporting (without the necessity for BAM!) are all coated in adequate element to allowyou to enforce your personal absolutely useful answer.

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

What you’ll learn

  • research the right way to advance whole finish to finish EDI 834 strategies, either inbound and outbound
  • Create a resolution that demonstrates the way to combine with country Exchanges
  • Explore strategies for customized pipeline elements, archiving styles, lookups
  • Detailed info for complicated 834 EDI mapping

Who this e-book is for

BizTalk directors and builders, in addition to administration group of workers attached 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 Health Care: HIPAA-Compliant 834

BizTalk 2013 EDI for Healthcare – EDI 834Enrollment suggestions removes the complexity anddemonstrates the best way to construct either inbound and outbound EDI 834 techniques inBizTalk server that stick with the mandatory styles for integrations with theseexchanges.  Archiving, mapping,reconstituting EDI 837 information, exception dealing with and complicated logging andreporting (without the necessity for BAM!

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

Sample text

The maps can often be extremely simple when using this pattern, as all of the data can be preprocessed and delivered to BizTalk by the stored procedure in the format required by the targeted trading partner. Instead of having logic in functoids and within the map, this logic can reside in SQL, and the maps can remain as simple as possible. ” The pattern for handling this type of scenario is shown in Figure 1-10. Figure 1-10. Mapping Outbound Data from SQL Server Sending Unencrypted Data via SFTP SFTP is a secure file transfer protocol, and files sent over SFTP can be unencrypted and still be HIPAA compliant.

The standard EDI schema validation and related 999 still occur, but additional custom validation of the data itself is required after this initial validation has passed. One important pattern related to this is the comparison of the inbound 834 data with existing historical data that is housed within an existing database. For example, if the requirement was to check and see if the first name, last name, or SSN has changed on an inbound subscriber or related dependents, then the inbound 834 data would need to be compared against the existing data.

NET helper library built, you can reference the DLL in the orchestration project and call it to archive the inbound XML data. The next section shows how to call this referenced DLL from within an orchestration. The Orchestration Project In this solution, the orchestration will receive the 837P directly, map it, archive it to the database, and send it out in the final ECSIF format to a file directory. If archiving to the database was not a requirement, all of this could be accomplished without the use of an orchestration.

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