Type 7 Validation

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This support is only available with the HIPAA Data Compliance application.

Overview

In the original WEDI SNIP compliance testing model, Type 7 validation was limited to those explicit requirements specified in the HIPAA Implementation Guides for a small set of payer entities.

Within the healthcare industry, however, the term Type 7 validation is typically used in a broader sense that encompasses generalized, business-to-business testing based on requirements from additional sources. The Pack for Healthcare supports this expanded interpretation.

In the IBM Transformation Extender Pack for Healthcare, validation requirements are classified as Type 7 if either or both of the following conditions are true:
  • The requirement is more restrictive than the standard requirements as documented in the HIPAA X12 Implementation Guides.
  • The requirement does not apply globally to all defined business partners.

The scope of the validation performed by Types 1 through 6 is limited to enforcing the ‘standard’ requirements documented in the HIPAA X12 Implementation Guides (TR3s) and applying those requirements globally to all business partners. Type 7 validation extends that scope with an additional layer of checking that allows selective enforcement of business-specific requirements.