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Purpose

This content was created to explain what criteria are used to determine which edits to include in the HIPAA Accelerator Compliance Maps

Overview

The HIPAA Accelerator Compliance Maps are used with the EDI Server Suite of products to validate HIPAA x12 transacttions

 

Criteria for inclusion:

Compliance Maps are based on the TR3s as approved by the Department of Health and Human Services (HHS) regulations for the 5010 x12 versions of the HIPAA transactions.

Exceptions:

Occaisionaly, a large number of customers needs added/changed functionality for business reasons that is not specifically provided for in the HHS regulations, or CMS (Center for Medicare/Medicaid Services) will add additional criteria which then affect most customers.  In these cases, we may provide that functionality with a switch so that the customers can either run the HIPAA Accelerator maps with the added functionality or strictly according to the TR3s.

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