HIPAA_Type_n_Checks_Enabled details

Based on Types selected for HIPAAValidationLevel, the HIPAA Compliance Checker parameters HIPAA_997_Enabled and HIPAA_999_Enabled parameters are set as described here.

If "Only standard X12 rules will be checked" (HIPAA Validation Level is “1” and no other Type is enabled) then A HIPAA 999 is flagged for creation and HIPAA_997_Enabled is automatically set to “N”

Otherwise, the following conditions are true:

If "Check Companion Guide Rules (Type 7)" is "Y" then "Also Report Standard X12 ,(Type 1) Exceptions"is set according to this parameter which controls 997 creation"Check HIPAA Structure and Segment Rules (Type 2)" is automatically set to "Y""Check Balancing and MultiSegment Rules (Types 3 and 4)" is automatically set to "Y"if "Check Balancing and MultiSegment Rules (Types 3 and 4)" is "Y",otherwise it is automatically set to "N""Check Referenced Code Set Rules (Type 5)" is automatically set to "Y" if "Check Referenced Code Set Rules (Type 5)" is "Y", otherwise it is automatically set to "N""Check Line of Service Rules (Type 6)" is automatically set to "Y" if "Check Line of Service Rules (Type 6)"is "Y", otherwise it is automatically set to "N" A HIPAA 999 is flagged for creation

If "Check Line of Service Rules (Type 6)" is "Y" then "Also Report Standard X12 ,(Type 1) Exceptions" is set according to this parameter which controls 997 creation"Check HIPAA Structure and Segment Rules (Type 2)" is automatically set to "Y""Check Balancing and MultiSegment Rules (Types 3 and 4)" is automatically set to "Y" if "Check Balancing and MultiSegment Rules (Types 3 and 4)" is "Y", otherwise it is automatically set to "N" "Check Referenced Code Set Rules (Type 5)" is automatically set to "Y" if "Check Referenced Code Set Rules (Type 5)" is "Y", otherwise it is automatically set to "N" A HIPAA 999 is flagged for creation

Otherwise if "Check Referenced Code Set Rules (Type 5)" then "Also Report Standard X12 (Type 1) Exceptions" is automatically set to “N” "Check HIPAA Structure and Segment Rules (Type 2)" is automatically set to “Y”"Check Balancing and MultiSegment Rules (Types 3 and 4)" is automatically set to “Y” if "Check Balancing and MultiSegment Rules (Types 3 and 4)" is "Y", otherwise it is automatically set to “N” "Check Referenced Code Set Rules (Type 5)" is automatically set to “Y” A HIPAA 999 is flagged for creation

Otherwise if "Check Balancing and MultiSegment Rules (Types 3 and 4)" is "Y" then "Also Report Standard X12 (Type 1) Exceptions" is automatically set to “N” "Check HIPAA Structure and Segment Rules (Type 2)" is automatically set to “Y” "Check Balancing and MultiSegment Rules (Types 3 and 4)" is automatically set to “Y” A HIPAA 999 is flagged for creation

Otherwise If HIPAA Validation Level includes type “2” then "Also Report Standard X12 (Type 1) Exceptions" is automatically set to “N” "Check HIPAA Structure and Segment Rules (Type 2)" is automatically set to “Y”