HIPAA Example Interfaces

The example interfaces provided with BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream demonstrate how to configure the HIPAA transactions. The following example interfaces are in the directory: bcce-edihipaa-1.0.0_InstallerFolder/samples/interfaces

• HIPAA-00401.csx - example interface for version 4010 HIPAA transactions with Addenda updates.
• HIPAA-00501.csx - example interface for version 5010 HIPAA transactions
• HIPAA-Ack-00307-277.csx - unsolicited 277 acknowledgement example
• HIPAA-Ack-00404-277.csx - 277 claim acknowledgement example
• HIPAA-Ack-00501-277.csx - 277 claim acknowledgement example
• HIPAA-Ack-00405-824.csx - 824 Application Advice acknowledgement example
• HIPAA-Ack-00501-824.csx - 824 Application Advice acknowledgement example
• HIPAA-HL7-00405-275-277.csx - HL7 claims attachment example
• HIPAA-HL7-00501-275-277.csx - version 5010 HL7 claims attachment example
• HIPAA-RT-00401-270-271.csx - synchronous request/reply example
• HIPAA-RT-00401-276-277.csx - synchronous request/reply example
• HIPAA-RT-00501-270-271.csx - version 5010 synchronous request/reply example
• HIPAA-RT-00501-276-277.csx - version 5010 synchronous request/reply example

The guidelines used in the example interfaces are in the directory: BC_HOME\protocols\tibedi\samples\sampleDocs\guidelines

The guidelines used in the example interfaces are available in multiple locations:

  • BCCE-1.3.0_Home/images/services/cms/bcce-cms/config and BCCE-1.3.0_Home/images/services/is/bcce-is/config

  • Fsrest mount path

  • bcce-edihipaa-1.0.0_InstallerFolder/samples/sampleDocs/guidelines

Note: The unsolicited 277 transaction, 277 claim acknowledgement, and 824 application advice are not mandated by HIPAA. Customers should verify that their trading partners support the unsolicited 277, 277 claim acknowledgement, or 824 application advice acknowledgement before using them. The same is true of the 275/277 transactions used for HL7 claims attachments.

The EDI data files and XML files required to run the example interfaces are in the directory: bcce-edihipaa-1.0.0_InstallerFolder/samples/sampleDocs/datafiles

The data in the sample EDI data files show the use of various elements of the HIPAA transactions. The sample EDI data files do not contain real data.