Sample 1: HIPAA 837I, customized for XYZ Acute Care

In the USA, the Health Insurance Portability and Accountability Act (HIPAA) defines the structure of electronic health care transactions. Health care providers typically issue a document called Companion Guide that states the HIPAA message versions they support and lists additional requirements or restrictions.

In this section, we assume that a fictitious company XYZ Acute Care uses Kofax Import Connector to send their received health care claim messages to Kofax Capture. According to their Companion Guide document the messages follow the HIPAA standard 837I 5010 A2 (Health Care Claim Institutional). The EDI message in this example was extracted from the Companion Guide.