Contents of X12_5010_HIPAA project

The transactions are contained in a folder called Transactions.

The Envelopes folder contains a structure that defines the interchange. This is used if the interchange segments (ISA, GS, GE, IEA) are required. To use this, inherit from it in your own project (create a structure that customizes it). Then, in your custom structure, expand it until you see the Transaction element. You can then drag your custom transaction structure (like the 270-A1 for example) to the Transaction element which will cause it to inherit at that point. Then the custom interchange structure is ready to use.

There are three types of acknowledgment that you may need to process when using HIPAA transactions. The Functional Acknowledgment (997) transaction is used to report problems at the functional group or transaction set level. This is located in the Transactions/997. The Implementation Acknowledgment (999) is used to provide additional implementation specification validation reporting. This is located in the Transactions/999-A1. Both the 997 and 999 are provided with and without the X12 envelope segments. For problems with the interchange or functional group (ISA/GS), the TA1 segment is used. This is found at Segments/TA1.

Some other folders (Segments, Composites, Elements) contain structure definitions for those EDI components. You should never need to use these directly as everything required is present in the transaction structure. They are provided because the specification metadata is created exactly it is specified by the EDI standard. You may also note that in the transaction structure some elements show the change indication icon (a small gold triangle in the icon). This represents the cases where the definition in the transaction specification overrides or augments that of the underlying segment/composite/element. Again, no action on your part is required, this is just for information.