By Mark Beckner

BizTalk 2013 EDI for Healthcare – EDI 834Enrollment Solutions gets rid of the complexity anddemonstrates easy methods to construct either inbound and outbound EDI 834 tactics inBizTalk server that keep on with the mandatory styles for integrations with theseexchanges. Archiving, mapping,reconstituting EDI 837 information, exception dealing with and complex logging andreporting (without the necessity for BAM!) are all coated in adequate aspect to allowyou to enforce your personal absolutely practical resolution.

The cheap CareAct and the necessities to combine with kingdom Exchanges have securedBizTalk’s function with integrations in the healthcare undefined. EDI 834 files are the guts to allintegrations, facing enrollment and the upkeep of enrollments. on the way to effectively combine with theexchanges, businesses are required to enforce a couple of architectural componentsthat might be daunting and intricate to paintings via. top of the range assets for IT expert to deal with those demanding situations are sorely wanted, and this source has been designed to supply concise solutions.

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Additional resources for BizTalk 2013 EDI for Health Care: HIPAA-Compliant 834 (Enrollment) and 837 (Claims) Solutions

Example text

While there will be some ramp up in learning this scripting language, it will be worth your time investment. • External XSLT. In most cases, you will use the functoids and mapping options available in the map to complete your solution. In other cases, you may want to simply shell out to an external XSLT file to handle the mapping. • SQL Stored Procedures. When dealing with business rules, data level transformations, or lookups, you may want to create stored procedures and deal with logic there.

Mapping the Transaction Type public string GetTransactionType(string BGN08, string N103) { string result = null; if (BGN08 == "2") { if (N103=="24") result = "SHOP Enrollment"; else result = "Individual Enrollment"; } if (BGN08 == "4") { if (N103=="24") result = "SHOP Reconciliation"; else result = "Individual Reconciliation"; } return result; } 59 Chapter 4 Mapping Data Conclusion This chapter gives an overview of how to be successful with your mapping solutions. It also gives specific examples around mapping several elements in both the 837 and 834 document types, and provides direction on how to implement inline scripts for more complex maps.

NET assembly from a map is an easy architecture to build, and can be of great benefit. Looking at actual examples of mapping technologies is what the rest of this chapter is devoted to. With these specific examples in front of you, you should be able to jump into the development of your 834 and 837 health care maps with a solid direction as to how to implement. You’ll look at several examples - data being mapped to an outbound 837 and data being mapped from an inbound 834 and 837. Chapter 9, “Advanced 834 Mapping” covers how to map to an advanced form of the outbound 834.

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