Background

As of version 3.1.1.1145, HIPAA Authorizer users can create EDI files directly from database records, whether they were imported into the database via EDI files or originated from your own request system. This is an add-on component of the HIPAA Authorizer and needs to be licensed in order to use it.

HIPAA compliant EDI files are not easily created from records that don't originate from EDI. It might take a while to produce compliant records for several reasons:

oYou might not have every field that is required by the implementation guides.

oThe data that you have is not formatted according to the HIPAA guides.

oData might have to be assembled from across your enterprise's applications.

We recommend that you also purchase and employ the EDI Exchange module. This way, you can verify each individual claim record before it is written to the EDI file and you can even suppress records that are not created without compliance warnings.