webMethods HIPAA Module

Release Notes


webMethods HIPAA Module Version 6.0.2 Feature Pack 2

webMethods is pleased to introduce Feature Pack 2 for webMethods HIPAA Module 6.0.2. Feature Pack 2 is a feature extension of version 6.0.2 that provides support for five additional HIPAA transactions for claims processing: 270, 271, 276, 277, and 278. These transactions benefit from the same new design and architecture as the transactions released in version 6.0.2.

More information about the benefits provided by Version 6.0.2 can be found below in the Release Notes for webMethods HIPAA Module 6.0.2.


webMethods HIPAA Module Version 6.0.2 Feature Pack 1

webMethods is pleased to introduce Feature Pack 1 for webMethods HIPAA Module 6.0.2. Feature Pack 1 is a feature extension of version 6.0.2 that provides support for two additional HIPAA transactions for claims processing -- 837-Dental and 837-Professional. These transactions benefit from the same new design and architecture as the transactions released in version 6.0.2.

In addition to support for two additional transactions, this Feature Pack includes some minor fixes for Version 6.0.2 that have been rolled into this release.

More information about the benefits provided by Version 6.0.2 can be found below in the Release Notes for webMethods HIPAA Module 6.0.2.


webMethods HIPAA Module Version 6.0.2

webMethods is pleased to introduce the 6.0.2 version of the webMethods HIPAA Module. Version 6.0.2 of the Module is a special minor release that provides customer-driven enhancements to a subset of HIPAA transactions -- 820, 834, 835 and 837-Institutional.

Modularized Validation

For the 820, 834, 835 and 837-Institutional transactions, the transaction validation services have been modularized to give users more granular control over the types of HIPAA validation (Types 1-5) that they want to implement for a specific partner and transaction.

Large File Handling Support

For the 820, 834, 835, and 837-Institutional transactions, the modularized validation services enable users to implement EDI Large File Handling (according to guidelines), thereby allowing users to process large, multi-megabyte EDI files.

Addendum Support

For the 820, 834, 835, and 837-Institutional transactions, validation services for the included transactions support the Addendum to the WEDI HIPAA Implementation Guidelines released in February 2003.

Improved Validation Reporting Through Error Code Handling

For the 820, 834, 835, and 837-Institutional transactions, in addition to the standard included Validation Reports, validation errors now generate a robust set of error codes that can be used for more complex, customized Validation Reports.

Improved Performance

Based on the new design, users should expect a significant improvement in performance for the HIPAA validation services for the 820, 834, 835, and 837-Institutional transactions.

Usage Guidelines: Version 6.0.2 versus 6.0.1

Customers who want to deploy all HIPAA transactions together at this time should consider using Version 6.0.1. Version 6.0.1 and 6.0.2 employ different architectures and should not be implemented in the same instance of webMethods Integration Server. Use Version 6.0.2 when:

Use Version 6.0.1 when:

For a list of all the changes and issues resolved since the last release, see the readme.txt file for webMethods HIPAA Module on the webMethods software download site or in the directories in which you installed webMethods HIPAA Module.

For information about previous releases of webMethods HIPAA Module, see the release notes for those releases, below.


webMethods HIPAA Module Version 6.0.1

webMethods is pleased to introduce the release of the webMethods HIPAA Module, version 6.0.1. Built on top of the webMethods Integration Platform and the webMethods EDI Module, the HIPAA Module enables employers, payers, providers and clearinghouses to engage in processing medical claims transactions according to the HIPAA standard. It also allows HIPAA implementations to easily make use of the robust and comprehensive feature sets of the entire webMethods Integration Platform, including business process modeling, human workflow elements, and monitoring.

HIPAA Transaction Support

Full support for all 11 HIPAA transactions:

Code Set Support

Unique Identifiers

Using Trading Networks, users can manage and use unique identifiers for providers, plans, employers and individuals as theses identifiers become mandatory.

TA-1 and 997 Support

The webMethods HIPAA Module fully supports HIPAA-defined success/failure notification of envelope errors via TA-1 technical acknowledgments. 997 functional acknowledgments also are supported to communicate syntax errors in HIPAA documents. In addition to these, detailed error reports are generated and sent to your HIPAA Administrator via e-mail.

Validation and Certification Support

Through our development partner, Softima, webMethods has successfully validated transactions 270, 271, 276, 277, 835, and all three versions of 837 (Institutional, Professional, Dental) through Claredi.

Claredi certification provides out-of-the-box support validation to Level 5, as defined by the WEDI-SNIP structured certification process.The webMethods HIPAA Module will be certified for every transaction supported by Claredi certification software.

Through the addition of code sets and validation customization, the webMethods HIPAA Module also is capable of Level 6 and 7 validation, as defined by WEDI-SNIP certification guidelines.


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Copyright (c) 2004 by webMethods, Inc. All rights reserved, including the right of reproduction in whole or in part in any form.