Overview

In this tutorial, you use TIBCO BusinessWorks and BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream running on the host machine to send the HIPAA 837 Professional transaction to the trading partner machine running BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream.

The receiving machine is configured to return TA1, 997, 824, and 277U acknowledgements.

The transaction set identifier information is as follows:

• The initiator machine:
— Transaction set - 837
— Group version - 4010X098A1
— Interchange version - 00401
• The responder machine:
— Transaction set - 824
— Group version - 4050X166
— Interchange version - 00405
— Transaction set - 277
— Group version - 3070X070A1
— Interchange version - 00307

As you run the tutorial, the TIBCO software applications perform the following tasks on the host machine:

  1. TIBCO Business Studio reads an XML file that contains the data for the 837 Professional transaction.

  2. TIBCO Business Studio parses the XML and sends the XML data to BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream.

  3. BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream converts the XML data to X12 data.

  4. BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream validates the X12 data against the 837 Professional guideline.

  5. The validated X12 data are bundled into an interchange for sending to the trading partner.

  6. The software uses HTTP transport to send the interchange to the trading partner.

The TIBCO software applications perform the following tasks on the trading partner machine:

  1. BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream receives the X12 interchange.

  2. BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream validates the X12 data against the 837 Professional guideline.

  3. The software converts the validated 837 Professional X12 data into XML data.

  4. The software sends the converted 837 Professional XML data to the private process.

  5. The software generates TA1, 997, 824, and 277U acknowledgements.

  6. BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream sends each acknowledgement to the host machine.

The following steps occur on the host machine:

  1. BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream validates each acknowledgement as it is received against the appropriate guideline.

  2. The software converts the validated acknowledgement X12 data to XML data.

  3. The software sends the converted XML data for each acknowledgement to the private process.

  4. The private process receives each acknowledgement and logs the status data from each acknowledgement type.

The following sections describe how to set up and run the tutorial. The steps required in setting up BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream to run the tutorial are:

  • Authoring and Configuring EDI Guidelines

  • Setting Up Trading Partners

  • Creating Private Processes