HIX example

The Health Insurance Exchange (HIX) example demonstrates structures and concepts that surround the HIX processing structures.

The HIX 820 is the 005010X306 transaction set, for which full support is included in the SPE Pack for Healthcare Payer. The HIX 834 or HIPAA FFE 834 is the 005010X220A1 plus FFE Companion Guide. The existing HIPAA 834 is supported in the pack but this example incorporates the FFE (Federally Funded Exchange) Companion guide which is a set of rules that is above HIPAA and is related to specific use for a specific task. In typical WEDI/SNIP terminology, this is WEDI/SNIP type 7. The 834 support beyond HIPAA is shown in this example.