Health Care More Links
HIPAA
837 Professional to NSF
837 Institutional to UB92
  NSF to 837 Professional
  UB92 to 837 Institutional
  837 Professional to HCFA 1500 Form
  837 Institutional to HCFA UB92 (1450) Form
  1500 Text Image File to HIPAA
NCPDP
HL7
  RMAP


HIPAA 837 Professional to HCFA 1500 Form

 

  Introduction - HIPAA 837 Professional to HCFA 1500 Form
This ready-to-go map definition is designed to convert the HIPAA 837 Professional format to the HCFA 1500 form format. 

This map includes the following features:

  • HIPAA 837 professional set to the HCFA 1500 form image
  • 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

Input - Before Translation

Before: a HIPAA 837 Professional File

Output - After Translation

After: a HCFA 1500 File
Overlay

Above is a before and after look of the translation.  If the above translated file is overlaid with the HCFA 1500 blank form, then the following HCFA 1500 image will be generated.

 

PDF Module

With the Redix PDF module, a HIPAA 837 professional file can be directly converted to a 1500 PDF file as shown below:

GUI Mapper

The map converts a HIPAA 837 Professional to HCFA 1500 text can be be found in the Redix HIPAA Package in the Mapper's Conversion area. 

The image above demonstrates a user using the Redix Drag and Drop GUI to perform a 1:1 mapping of a HIPAA 837 professional SBR_03 field (Reference Identification) to Other Insurer's Name (Box 11)

Integrating the Map Definition into the Project Environment

Once the map files (IFD and OFD) are generated, the user may then add the IFD and OFD files to the production environment.
   Redix offers the ability to add a translation file to the production environment through the use of the Application Programming Interface (API). The API is supported in C/C++, Visual C++, Visual Basic, JAVA™, and command-line formats, e.g., redix. If the user uses the Redix Automation Processor (RAP), then the user can also use the RAP's API with the above programming languages.  
    After the Configuration tab is filled in and saved, a user may then move to the Integration tab, where Redix provides a GUI to automatically generate API details. A similar GUI exists for both the AnyToAny, AnyToXML, and Redix Automation Processor Areas.
    The user can use the information generated from the Integration tab to automatically generate API statements or JAVA classes that can be copied and pasted into the user's existing application environment.
Direct Engine Interface 

redix_app_ext(String input_filename, String ifd_filename, String ofd_filename, String ack_filename, String error_filename, String output_filename, char conversion_flag, char segment_terminator, char element_separator, char composite_separator, char release_char, String UserData);

Redix also provides a similar set of API's for those who would prefer to do the conversion using the memory approach.
With the use of the Redix API, the HIPAA 837 Professional to the HCFA 1500 map can be added to any existing application.