HIPAA Accelerator Guide

HIPAA Accelerator Guide

Transaction Set (ST) Processing

Transaction Set (ST) Processing

Parsing is done for each file with one ISA and one GS and one ST segment.
The file is processed in the following steps.
  1. Split the file into separate files for each transaction set (single ST).
  2. Create a DX event for every file and attach the file to the DX event.
  3. Parse the files to Informatica canonical xml format and add that output to the event.
  4. Event attributes are also extracted and can be reviewed from the event attributes tab of the event.
The HIPAA library includes parsing to HIPAA Informatica canonical XML format. To map the Informatica canonical XML format to customer-specific formats, you can create and configure a DT Mapper and/or DT Serializer. For more information about how to create a DT Mapper or a DT Serializer, see the
Data Transformation User Guide.
Note that converting from Canonical XML, to load the data into the backend systems, needs to be developed as part of the project implementation, and is beyond the scope of the HIPAA Accelerator.

Event statuses

DX Event Status
Description
Transaction initiated
Start processing of HIPAA document type
Transaction processed
HIPAA document has been parsed

Event types

The event type format is '<Hipaa document identifier> (ST)'. For example, the event type will be '
820 (ST)
' for HIPAA Document 820.

Event attributes

DX Event Attribute
Description
GS_control_number
Functional Group control number as appears in GS\R06
ISA_control_number
Interchange control number as appears in ISA\R13
ST_control_number
HIPAA Document Control Number as appears in ST\R02
ST_transaction_type
HIPAA Document type as appears in ST\R01
The following table describes the specific event attributes extracted per HIPAA document:
All the event attributes in this table are calculated from the claims level events.
DX Event Attribute Name
Transaction Type
Total_Number_Of_Claims
837
Total_Monetary_Amount_Of_Claims
837
Total_Number_Of_Accepted_Claims
277CA
Total_Monetary_Amount_Of_Rejected_Claims
277CA
Total_Number_Of_Rejected_Claims
277CA
Total_Monetary_Amount_Of_Paid_Claims
835

Documents attached

The following documents are attached:
Log Name
Description
ST Data
Transaction Set wrapped by ISA and GS
Converted XML
Output in Informatica canonical XML format

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