Implementing Type 6 validation in SPE

When you use the SPE Pack for Healthcare Payer, the HIPAA Compliance Checker component is responsible for validating data against HIPAA X12 requirements.

When Type 6 validation is configured and enabled in SPE, the compliance check process performs the following tasks:
  • Check data content for compliance with line of service requirements as specified by configurable envelope parameters, business rules, and line-of-service trigger definitions.
  • Incorporate Type 6 exceptions into the appropriate, enabled acknowledgments and reports.
  • Perform any required valid/invalid data split process based on results from all enabled validation levels and in accordance with implementation settings.