HIPAA validation type description

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This field is required if this Inbound Group is for a HIPAA Version; do not specify if this is not a HIPAA Inbound Group. This field is a 7 character position string, each position denoting the HIPAA Validation Type (for example, position 1 is for Type 1; position 3 is for Type 3). The values for these positions are as follows:

  • position 1: 0 = Disabled, 2 = Enabled, Reported in 997
  • position 2: 0 = Disabled, 1 = Enabled, 2=Enabled, reported in 999, 3=Enabled, Reported in 997.
  • position 3: 0 = Disabled, 1 = Enabled, 2=Enabled, reported in 999, 3=Enabled, Reported in 824, 4=Enabled, Execute Map. If 4 is specified, the field Type3MapName must contain a value.
  • position 4: 0 = Disabled, 1 = Enabled, 2=Enabled, reported in 999, 3=Enabled, Reported in 824.
  • position 5: 0 = Disabled, 1 = Enabled, 2=Enabled, reported in 999, 3=Enabled, Reported in 997.
  • position 6: 0 = Disabled, 1 = Enabled, 2=Enabled, reported in 999, 3=Enabled, Reported in 824.
  • position 7: 0 = Disabled, 1 = Enabled, 2=Enabled, reported in 999, 3=Enabled, Reported in 824. You can only specify Type 7 (options 1 or 3) if the External Application Partner for this link has a "HIPAA Institution" set.

The XML Autoload will perform the following validations:

  • HIPAA Qualifier records exist when Types 3, 4, 6 and 7 are specified. These are loaded in Standards Maintenance.
  • If a 997/999 is specified, an Acknowledgement Level (field AckLevel) has been selected.
  • If an Acknowledgement Level is set, at least one of above selections denote a 997/999.
  • If Types 3, 4, 5, 6, and 7 are set to anything other than Disabled, Type 2 must also not be disabled.