The HIPAA Accelerator serves Healthcare Payers and Providers that need to connect to Regional Exchanges, or to the Federally-Facilitated Marketplace (FFM), or need a HIPAA Message Gateway to integrate with their providers or with health care plan customers or employers.

The B2B Data Exchange HIPAA Accelerator is used to receive HIPAA X12 messages (inbound), and validate (HIPAA Level 1 and 2 validations) and parse them into Informatica canonical xml format. In the same manner, it is used to send HIPAA X12 messages (outbound), serialized from the canonical structure to the HIPAA X12 format

For more information about the Informatica canonical format, see the Data Transformation Libraries Guide.

HIPAA ASC X12 is an industry standard for administrative and financial health-care transactions. For more information about HIPAA, see the following websites:

The HIPAA Accelerator supports the following HIPAA EDI transactions (version 5010A) for both Inbound and Outbound traffic:

EDI 270 Eligibility, Coverage or Benefit Inquiry
EDI 271 Eligibility, Coverage or Benefit Information
EDI 276 Health Care Claim Status Request
EDI 277 Health Care Information Status Notification
EDI 278 Health Care Services Review - Request for Review and Response
EDI 820 Payment Order/Remittance Advice
EDI 824 Application Advice
EDI 834 Benefit Enrollment and Maintenance
EDI 835 Health Care Claim Payment/Advice
EDI 837 Health Care Claim, including 837P for professionals, 837I for institutions and 837D for dental practices
EDI 999 Implementation Acknowledgment
TA1 Transactional Acknowledgement