Type 5 HIPAA External Code Set Testing

Type 5 validation involves validating data content against code sets from external code sources as explicitly defined in the implementation guides for use with HIPAA standards. Examples of HIPAA X12 code sets include the 508 Health Care Claim Status Codes, that are available from Washington Publishing Company. Another example is the 537 National Provider Identifiers available from Centers for Medicare and Medicaid (CMS).

The options for reporting Type 5 exceptions include the HIPAA 999 implementation acknowledgment and the Translated Acknowledgment report.