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

  • 1h 59m
  • Mark Beckner
  • Apress
  • 2014

BizTalk 2013 EDI for Healthcare – EDI 834Enrollment Solutions eliminates the complexity and demonstrates how to build both inbound and outbound EDI 834 processes in BizTalk server that follow the required patterns for integrations with these exchanges. Archiving, mapping, reconstituting EDI 837 data, exception handling and advanced logging and reporting (without the need for BAM!) are all covered in enough detail to allow you to implement your own fully functional solution.

The Affordable Care Act and the requirements to integrate with state Exchanges have secured BizTalk’s role with integrations within the healthcare industry. EDI 834 documents are the heart to all integrations, dealing with enrollment and the maintenance of enrollments. In order to successfully integrate with the exchanges, companies are required to implement a number of architectural components that can be daunting and complex to work through. High-quality resources for IT professional to handle these challenges are sorely needed, and this resource has been designed to provide concise solutions.

What you’ll learn

  • Learn how to develop complete end to end EDI 834 solutions, both inbound and outbound
  • Create a solution that demonstrates how to integrate with state Exchanges
  • Explore options for custom pipeline components, archiving patterns, lookups
  • Detailed information for advanced 834 EDI mapping

Who this book is for

BizTalk administrators and developers, as well as management personnel connected with these positions.

About the Author

Mark Beckner is a technical consultant specializing in business development and enterprise application integration. He runs his own consulting firm, Inotek Consulting Group, LLC, delivering innovative solutions to large corporations and small businesses. His projects have included engagements with numerous clients throughout the U.S., and range in nature from mobile application development to complete integration solutions. He has previously authored BizTalk 2010 Recipes, Pro EDI in BizTalk Server 2006 R2, and Pro RFID in BizTalk Server 2009, and has spoken at a number of venues including Microsoft TechEd. In addition to BizTalk, he works with SharePoint, MSCRM, and custom .NET development.

In this Book

  • Architectural Patterns
  • Solution: Receiving 837P Data
  • Solution: Sending 837P Data
  • Mapping Data
  • Adapters, AS2, and Acks
  • Solution: Receiving 834 Data
  • Pipelines for 834 Processing
  • Custom Business Rules
  • Advanced 834 Mapping
  • Solution: Sending 834 Data
  • Solution: Sending 834 - Simplified
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