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In general,
mapping a text image file to any
other format is complicated.
This is especially true when the
text image file is an HCFA 1500
file. This is because each HCFA
1500 text image file varies in
format. For example, some
1500 text image files
have 66 records on each page,
while others might have 62 or 64. The
field position in each record is
always different. Therefore, instead of creating a map for
each text image file to HIPAA
837, Redix designed a universal
HCFA 1500 file format in the CSV
format (Common Separator Value)
file that can be mapped from any
text image file. It is much easier to use
the drag-n-drop operation to map
a 1500 text image file to the
Redix universal 1500 file
format than to map a text image
file directly to the HIPAA
format.
Redix has
designed and implemented a
series of intermediary map
definitions that will help users convert any HCFA 1500
text image file to the HIPAA 837 Professional
format. The first step is to
convert a 1500 text image file
to the Redix universal HCFA 1500
file format. The second
step is to convert the Redix HCFA
1500 file format to an
RMAP.
Finally, this RMAP can be
converted to the HIPAA 837
Professional format. Redix provides
several examples to show users
how to map their own 1500 text image
files to the Redix universal HCFA
1500 file format. The
following flow chart
demonstrates this process:
Many times, some key fields,
such as the Submitter, Receiver,
or Billing/Pay-to Provider
information, required by the
HIPAA standard, are empty or
nonexistent in the 1500 text
image files. The user can
either use the first map, i.e.,
to convert a 1500 text image to
the Redix universal 1500 file
format, or the second map, i.e.
to convert the Redix universal
1500 file format to
RMAP, to
fill in those missing fields.
These series
of maps feature the following:
- Conditional mapping
- Code Conversion between X12 and
HCFA 1500
- String manipulations
- Automatic calculation of line charges and total line charges
- Automatically generates an IFD/OFD to interface
with the Redix Format Converter
- Calculates days, as well as date string manipulation
- Handles the page break. such as
Control L (hex 0C)
- Validate the fields in the text
image file
- Special functions to handle data
strings such as name or address
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