HIPAA Transaction Guidelines
All the HIPAA guidelines provided with BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream are located as follows:
-
BCCE-<version>_Home/images/services/cms/bcce-cms/configandBCCE-<version>_Home/images/services/is/bcce-is/config -
Fsrest mount path
-
bcce-edihipaa-1.1.0_InstallerFolder/samples/sampleDocs/guidelines
Example: Version 5010 guidelines are in the directory: bcce-edihipaa-1.1.0_InstallerFolder/samples/sampleDocs/datafiles/5010_txns
The following table lists the HIPAA transactions and their associated guidelines:
|
HIPAA Transaction |
HIPAA Guideline |
|
00307/003070X070A1/277 |
PDSA3070277UX070A1.std |
|
00401/004010X092A1/270 |
PDSA270-B.std (batch) |
|
00401/004010X092A1/270R |
PDSA270-RT.std (real-time) |
|
00401/004010X092A1/271 |
PDSA271.std |
|
00401/004010X093A1/276 |
PDSA276-B.std (batch) |
|
00401/004010X093A1/276R |
PDSA276-RT.std (real-time) |
|
00401/004010X093A1/277 |
PDSA277.std |
|
00401/004010X094A1/278 (RQ) |
PDA278RQ.std |
|
00401/004010X094A1/278 (RSP) |
PDA278RP.std |
|
00401/004010X061A1/820 |
PDSA820.std |
|
00401/004010X095A1/834 |
PDSA834.std |
|
00401/004010X096A1/837 (I) |
PDSA837I.std |
|
00401/004010X097A1/837 (D) |
PDSA837D.std |
|
00401/004010X098A1/837 (P) |
PDSA837P.std |
|
00404/004040X167/277 |
PDSA4040277UX167.std |
|
00405/004050X150/277 |
PDSA4050277X150.std |
|
00405/004050X151/275 |
PDSA4050275X151.std |
|
00405/004050X166/824 |
PDSA4050824X166.std |
|
00501/005010X279A1/270 |
PDSA5010270X279-B.std (batch) |
|
00501/005010X279A1/270R |
PDSA5010270X279-RT.std (real-time) |
|
00501/005010X279A1/271 |
PDSA5010271X279.std |
|
00501/005010X212/276 |
PDSA5010276X212-B.std (batch) |
|
00501/005010X212/276R |
PDSA5010276X212-RT.std (real-time) |
|
00501/005010X212/277 |
PDSA5010277X212.std |
|
00501/005010X217/278 (RQ) |
PDSA5010278X217Q.std |
|
00501/005010X217/278 (RSP) |
PDSA5010278X217R.std |
|
00501/005010X218/820 |
PDSA5010820.std |
|
00501/005010X220A1/834 |
PDSA5010834.std |
|
00501/005010X221A1/835 |
PDSA5010835.std |
|
00501/005010X222A1/837 (P) |
PDSA5010837P.std |
|
00501/005010X223A2/837 (I) |
PDSA5010837I.std |
|
00501/005010X224A2/837 (D) |
PDSA5010837D.std |
|
00501/005010X214/277 |
PDSA5010277CAX214.std |
|
00501/005010X186A1/824 |
PDSA5010824X186.std |
|
00501/005010X210/275 |
PDSA5010275X210.std |
|
00501/005010X213/277 |
PDSA5010277X213.std |
Guidelines that are designated as real-time transactions have limits applied as follows:
270 Transaction - number of patients limited to 1
276 Transaction - number of claims limited to 1
Guidelines that are designated as batch transactions have limits applied as follows:
270 Transaction - number of patients limited to 99
276 Transaction - number of claims limited to 99