HIPAA Accelerator Guide

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Transaction Set (ST) Processing

Each Transaction Set is processed in these steps.

Split the file into separate files for each transaction set (single ST).

Create a DX child event for each file and attach the file to the event.

Event attributes are also extracted and can be reviewed from the event attributes tab of the event.

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

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

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 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 Name
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