HIPAA compliance maps

Sybase HIPAA Accelerator includes compliance maps for each X12/HIPAA transaction.

Inbound maps

Inbound maps use an EDI message as input to create application data. You receive EDI messages from your trading partners.

Outbound maps

Outbound maps use application data to create an EDI message. The EDI message is the output of the map, and it is generally sent from your company to your trading partner.

Table 1-2 lists the subfolder names that contain Sybase HIPAA Accelerator compliance maps, which are located at C:\Program Files\Sybase\HIPAA60\Maps.

**Table 1-2: HIPAA compliance maps**
Compliance Maps	Description
270	Eligibility, Coverage or Benefit Inquiry
271	Eligibility, Coverage or Benefit Information
275	Additional Information to Support Health Care Claim or Encounter
276	Health Care Claim Status Request
277	Health Care Claim Status Notification
277RQ	Health Care Claim Request for Additional Information
278RP	Health Care Services Response to Request
278RQ	Health Care Services Request for Review
820	Payment Order/Remittance Advice
834	Benefit Enrollment and Maintenance
835	Health Care Claim Payment/Advice
837D	Health Care Claim: Dental
837I	Health Care Claim: Institutional
837P	Health Care Claim: Professional
FAMaps	Subdirectory for functional acknowledgement maps

Rules spreadsheets

Within the maps directory, you will also find rules spreadsheets for the 275 and 277RQ maps at C:\Program Files\sybase\HIPAA60\maps\275 and C:\Program Files\sybase\HIPAA60\maps\277RQ, respectively.

These spreadsheets document the rules and Implementation Guide conditions and requirements in the maps. Use these spreadsheets to help identify and resolve issues.