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 gets rid of the complexity anddemonstrates how one can construct either inbound and outbound EDI 834 procedures inBizTalk server that persist 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 lined in sufficient element to allowyou to enforce your individual absolutely sensible answer.

The reasonable CareAct and the necessities to combine with country Exchanges have securedBizTalk’s function with integrations in the healthcare industry.  EDI 834 records 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 might be daunting and complicated to paintings via. fine 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 tips to enhance entire finish to finish EDI 834 suggestions, either inbound and outbound
  • Create a answer that demonstrates easy methods to combine with kingdom Exchanges
  • Explore ideas for customized pipeline elements, archiving styles, lookups
  • Detailed details for complex 834 EDI mapping

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

Example text

Document Root Element Name is a wrapped element that is used ONLY to allow for the adapter to pull the results. It will need to be the root node of your schema that you have created for the stored procedure results. SQLData should match exactly the structure of the XML returned by the stored procedure, except in that the root node must match what you set in the Document Root Element Name property. So, if the root node of your XML result set from the stored procedure is SQLSourceClaims, and the Document Root Element Name property is SQLRoot, then your schema will need to be SQLRoot/SQLSourceClaims.

Figure 1-9. Mapping Outbound 837P Data from an Internal Flat File Sending Data Mapped directly from SQL Server Often, you can map your internal representation of data directly to a port (in XML) and map it to the target EDI standard without the use of an orchestration or other intermediary components. For example, when claims data is available in SQL Server databases and tables, there is a fairly straightforward pattern that can be built which will allow this data to be structured for ease of mapping to 837P by a SQL stored procedure.

837), as it will result in a variety of potential naming conflicts, unexpected errors, and challenges in testing. If you wish to refer to an EDI document type directly in your namespace, use a pattern such as a leading “X”, like X837P. Maps. Inbound Helper Library. Helper Orchestration. Inbound Pipeline. Outbound The Schema Projects There will be two schemas required for this project. The first is the 837P 5010 schema that ships with BizTalk. BizTalk has thousands of EDI schemas that come with it, crossing all of the document types and versions available.

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