Sybase HIPAA Accelerator distributes maps that facilitate compliance and validate data syntactically and semantically. These maps perform several key functions:
Verify inbound and outbound HIPAA X12 transactions and check that required and conditional segments and elements are present, where appropriate
Confirm that only the appropriate code values are present, that minimum and maximum occurrences have not been violated, and that data is not present within not used elements
Let you add, delete, or change compliance rules, which allows for business logic and flow and validation of information, such as member numbers, provider numbers, and dates of birth versus dates of service
Modifying EDI data is a business-specific decision.
Although Sybase HIPAA Accelerator maps impose no restrictions, Sybase strongly recommends
business owner approval.
Capture and report non-compliance errors to a transaction log in ECMap
You can run data through the Sybase HIPAA Accelerator compliance maps with no modifications to verify that your data is HIPAA compliant. Since you also receive source map files, you can alternatively modify the maps by applying your own business rules and specific data checks.
