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BizTalk 2013 EDI for Health Care

HIPAA-Compliant 834 (Enrollment) and 837 (Claims) Solutions

  • Book
  • © 2014

Overview

Authors:
  1. Mark Beckner
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  • Talk 2013 EDI for Healthcare – EDI 834Enrollment Solutions demonstrates how to build both inbound and outbound EDI 834 processes in Biz.
  • Talk server that follow the required patterns for integrations with health exchanges.
  • Archiving, mapping,reconstituting EDI 837 data, exception handling and advanced logging and reporting are all covered.

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Table of contents (11 chapters)

  1. Front Matter

    Pages i-xv
    Download chapter PDF

  2. Architectural Patterns

    • Mark Beckner
    Pages 1-12

  3. Solution: Receiving 837P Data

    • Mark Beckner
    Pages 13-28

  4. Solution: Sending 837P Data

    • Mark Beckner
    Pages 29-39

  5. Mapping Data

    • Mark Beckner
    Pages 41-60

  6. Adapters, AS2, and Acks

    • Mark Beckner
    Pages 61-82

  7. Solution: Receiving 834 Data

    • Mark Beckner
    Pages 83-93

  8. Pipelines for 834 Processing

    • Mark Beckner
    Pages 95-104

  9. Custom Business Rules

    • Mark Beckner
    Pages 105-116

  10. Advanced 834 Mapping

    • Mark Beckner
    Pages 117-125

  11. Solution: Sending 834 Data

    • Mark Beckner
    Pages 127-139

  12. Solution: Sending 834 - Simplified

    • Mark Beckner
    Pages 141-144

  13. Back Matter

    Pages 145-148
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About this book

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

The Affordable CareAct and the requirements to integrate with state Exchanges have securedBizTalk’s role with integrations within the healthcare industry. EDI 834 documents are the heart to allintegrations, dealing with enrollment and the maintenance of enrollments. In order to successfully integrate with theexchanges, companies are required to implement a number of architectural componentsthat 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.

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. Beckner, his wife Sara, and his boys Ciro and Iyer live in New Mexico. His website is http://www.inotekgroup.com and he can be contacted directly at mbeckner@inotekgroup.com.

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