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HIPAA 834 Translation

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TBonney
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8/20/2010 7:24 PM
    We want to submit benefits changes with our carriers electronically using HIPAA834 (X12) format.

    Lawson (9.0.0.7 Env, 9.0/MSP5 Apps, Windows platform) creates the "HIPAA834" file when you run the BN106. However, this file is missing the ISA segment & GS segment that create the header, has no field separators or segment terminators and is missing the trailer record too.

    Has anyone encountered this issue and come up with a solution that does not entail building one from scratch. We have multiple carriers whose formatting requirements vary, so we would need to cretae a separate transalation for each carrier.

    Thank you.
    Jeff White
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    Posts: 83
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    8/24/2010 10:19 PM
      We use Gentran to perform all of the translations for each provider, and to create it in the correct EDI format. And for the specific requirements by some of the providers, we modify the BN106 itself.

      Jeff
      Joe O'Toole
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      Posts: 314
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      8/25/2010 6:42 PM
        We have a custom program the reads the hipaa354 file and reformats / add segments based on our business partners needs. Our original was created by a services firm so I cannot say how much would be involved for you do to it from scratch. Once you have the base program however you can copy it and make changes to acommodate any other business partners requirements.
        TBonney
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        Posts: 281
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        8/31/2010 5:49 PM
          Jeff and Joe,

          Thanks for your responses. I think we will be having our interface analyst write us a program in his interface engine to format the Lawson output file with all of the necessary 834-compliant field separators, segment terminators, build the ISA & GS segments and trailer records. Then, we can build in any carrier-specific needs into his program. Thanks again.