Redix HIPAA Cloud Services

Service Name: 5010 A1 834 to 4010 A1

Service ID: 305

Tansaction Type: 834 (X12)

Inbound Type: X12/HIPAA 5010 A1

Outbound Type: X12/HIPAA 4010 A1

Purpose: Conversion+Validation

Number of Processes in this Service: 2

Process 1: HIPAA 5010 A1 834 Validation
Process 2: HIPAA 5010 A1 834 to HIPAA 4010 A1 834

Description: This service converts a HIPAA 5010 A1 834 file to a HIPAA 4010 A1 834 file. The conversion will first validate the input file. If the file is validated successfully, then the file will be converted. Otherwise, errors will be returned and the file will not be converted.

Sample Files for Process 1 - when the input file is good
Input File
ISA*00*          *01*SECRET    *ZZ*SUBMITTERS ID  *ZZ*RECEIVERS ID   *030101*1253*^*00501*000000905*1*T*:
GS*BE*SENDER CODE*RECEIVER CODE*20051231*0802*1*X*005010X220A1
ST*834*0001*005010X220A1
BGN*00*12456*19980520*1200****2
N1*P5**FI*999888777
N1*IN**FI*654456654
INS*Y*18*021*20*A***FT
REF*0F*123456789
REF*1L*123456001
DTP*356*D8*19960523
NM1*IL*1*DOE*JOHN*P***34*123456789
PER*IP**HP*7172343334*WP*7172341240
N3*100 MARKET ST*APT 3G
N4*CAMP HILL*PA*17011**CY*CUMBERLAND
DMG*D8*19400816*M
HD*021**HLT
DTP*348*D8*19960601
COB*P*890111*5
HD*021**DEN
DTP*348*D8*19960601
HD*021**VIS
DTP*348*D8*19960601
SE*21*0001
GE*1*1
IEA*1*000000905
Output file

							
Sample Files for Process 1 - when the input file has errors
Input File
ISA*00*          *01*SECRET    *ZZ*SUBMITTERS ID  *ZZ*RECEIVERS ID   *030101*1253*^*00501*000000905*1*T*:
GS*BE*SENDER CODE*RECEIVER CODE*20051231*0802*1*X*005010X220A1
ST*834*0001*005010X220A1
BGN*00*12456*19980520*1200****2
N1*P5**FI*999888777
N1*IN**FI*654456654
INS*MAYBE*18*021*20*A***FT
REF**123456789
REF*1L*123456001
DTP*356*D8*199605
NM1*IL*1*DOE*JOHN*P***34*123456789
PER*IP**HP*7172343334*WP*7172341240
N3*100 MARKET ST*APT 3G
N4*CAMP HILL*PA*17011**CY*CUMBERLAND
DMG*D8*19400816*M
HD*021**HLT
DTP*348*D8*19960601
COB*P*890111*5
HD*021**DEN
DTP*348*D8*19960601
HD*021**VIS
DTP*348*D8*19960601
SE*21*0001
GE*1*1
IEA*1*000000905
Output File
Warning: Element Error occurs at Line Number = 7; Segment Name = INS; Element Position = 1; Invalid data = (MAYBE); Element Number = 1073; Error Number = 5: Data element too long.;
Warning: Element Error occurs at Line Number = 7; Segment Name = INS; Element Position = 1; Invalid data = (MAYBE); Element Number = 1073; Error Number = 7: Invalid code value.;
Warning: Element Error occurs at Line Number = 8; Segment Name = REF; Element Position = 1; Invalid data = (); Element Number = 128; Error Number = 1: Mandatory data element missing;
Warning: Element Error occurs at Line Number = 8; Segment Name = REF; Element Position = 1; Invalid data = ( ); Element Number = 128; Error Number = 10: Exclusion Condition Violated; G(02020,1,0F^1L^17^23^3H^4A^6O^ABB^D3^DX^F6^P5^Q4^QQ^ZZ); The value of the element (1) must be 0F, 1L, 17, 23, 3H, 4A, 6O, ABB, D3, DX, F6, P5, Q4, QQ or ZZ.
Warning: Element Error occurs at Line Number = 10; Segment Name = DTP; Element Position = 3; Invalid data = (199605); Element Number = 1251; Error Number = 8: Invalid Date;
Sample Files for Process 2 - when the input file is good
Input File
ISA*00*          *01*SECRET    *ZZ*SUBMITTERS ID  *ZZ*RECEIVERS ID   *030101*1253*^*00501*000000905*1*T*:
GS*BE*SENDER CODE*RECEIVER CODE*20051231*0802*1*X*005010X220A1
ST*834*0001*005010X220A1
BGN*00*12456*19980520*1200****2
N1*P5**FI*999888777
N1*IN**FI*654456654
INS*Y*18*021*20*A***FT
REF*0F*123456789
REF*1L*123456001
DTP*356*D8*19960523
NM1*IL*1*DOE*JOHN*P***34*123456789
PER*IP**HP*7172343334*WP*7172341240
N3*100 MARKET ST*APT 3G
N4*CAMP HILL*PA*17011**CY*CUMBERLAND
DMG*D8*19400816*M
HD*021**HLT
DTP*348*D8*19960601
COB*P*890111*5
HD*021**DEN
DTP*348*D8*19960601
HD*021**VIS
DTP*348*D8*19960601
SE*21*0001
GE*1*1
IEA*1*000000905
Output file
ISA*00*          *01*SECRET    *ZZ*SUBMITTERS ID  *ZZ*RECEIVERS ID   *030101*1253*U*00401*000000905*1*T*^
GS*BE*SENDER CODE*RECEIVER CODE*20051231*0802*1*X*004010X095A1
ST*834*0001
BGN*00*12456*19980520*1200****2
N1*P5**FI*999888777
N1*IN**FI*654456654
INS*Y*18*021*20*A***FT
REF*0F*123456789
REF*1L*123456001
DTP*356*D8*19960523
NM1*IL*1*DOE*JOHN*P***34*123456789
PER*IP**HP*7172343334*WP*7172341240
N3*100 MARKET ST*APT 3G
N4*CAMP HILL*PA*17011**CY*CUMBERLAND
DMG*D8*19400816*M
HD*021**HLT
DTP*348*D8*19960601
HD*021**DEN
DTP*348*D8*19960601
HD*021**VIS
DTP*348*D8*19960601
SE*20*0001
GE*1*1
IEA*1*000000905
Sample Files for Process 2 - when the input file has errors
Input File
ISA*00*          *01*SECRET    *ZZ*SUBMITTERS ID  *ZZ*RECEIVERS ID   *030101*1253*^*00501*000000905*1*T*:
GS*BE*SENDER CODE*RECEIVER CODE*20051231*0802*1*X*005010X220A1
ST*834*0001*005010X220A1
BGN*00*12456*19980520*1200****2
N1*P5**FI*999888777
N1*IN**FI*654456654
INS*MAYBE*18*021*20*A***FT
REF**123456789
REF*1L*123456001
DTP*356*D8*199605
NM1*IL*1*DOE*JOHN*P***34*123456789
PER*IP**HP*7172343334*WP*7172341240
N3*100 MARKET ST*APT 3G
N4*CAMP HILL*PA*17011**CY*CUMBERLAND
DMG*D8*19400816*M
HD*021**HLT
DTP*348*D8*19960601
COB*P*890111*5
HD*021**DEN
DTP*348*D8*19960601
HD*021**VIS
DTP*348*D8*19960601
SE*21*0001
GE*1*1
IEA*1*000000905
Output File
Warning: Element Error occurs at Line Number = 7; Segment Name = INS; Element Position = 1; Invalid data = (MAYBE); Element Number = 1073; Error Number = 5: Data element too long.;
Warning: Element Error occurs at Line Number = 7; Segment Name = INS; Element Position = 1; Invalid data = (MAYBE); Element Number = 1073; Error Number = 7: Invalid code value.;
Warning: Element Error occurs at Line Number = 8; Segment Name = REF; Element Position = 1; Invalid data = (); Element Number = 128; Error Number = 1: Mandatory data element missing;
Warning: Element Error occurs at Line Number = 8; Segment Name = REF; Element Position = 1; Invalid data = ( ); Element Number = 128; Error Number = 10: Exclusion Condition Violated; G(02020,1,0F^1L^17^23^3H^4A^6O^ABB^D3^DX^F6^P5^Q4^QQ^ZZ); The value of the element (1) must be 0F, 1L, 17, 23, 3H, 4A, 6O, ABB, D3, DX, F6, P5, Q4, QQ or ZZ.
Warning: Element Error occurs at Line Number = 10; Segment Name = DTP; Element Position = 3; Invalid data = (199605); Element Number = 1251; Error Number = 8: Invalid Date;