Your trading partner creates a client that constructs a HIPAA standard message and sends the HIPAA message to your Integration Server.

Integration Server receives the HIPAA message and sends it to Trading Networks for processing. Because the HIPAA message is an EDI document, Trading Networks passes the document to Module for EDI.

The Module for EDI splits the HIPAA message into separate documents. Set a variable in an EDI trading partner agreement (EDITPA) to define the level of documents (Envelope, Group, or Transaction) that you want the HIPAA message split into. For HIPAA processing, you must split at least at the group level to form both Envelope and Group documents. For more information about EDITPAs and the EDITPA splitOption variable, see Configuring the webMethods Module for HIPAA in this guide and also see the webMethods Module for EDI Installation and User’s Guide .

Module for HIPAA supports the following TN document types:

For each document (Envelope, Group, or Transaction) split from the original HIPAA message, the Module for EDI uses the TN document types to determine the type of document (for example, X12 Envelope, X12 Group, or X12 5010 835).

After recognizing the type of document using TN document types, the EDI recognizer forms a BizDocEnvelope for the EDI document. The BizDocEnvelope is in the bizdoc pipeline variable. A BizDocEnvelope contains the original document (Envelope, Group, or Transaction) and includes additional information that Trading Networks requires for routing and processing the document. In other words, the BizDocEnvelope represents a routable Trading Networks transaction.

After the BizDocEnvelope is formed, the document undergoes regular Trading Networks processing. Trading Networks determines which processing rule to execute on the document. For example, set up processing for the Envelope document to validate the envelope and generate TA1 technical acknowledgments and 997 functional acknowledgments, if appropriate. For more information about defining processing rules, see Before You Can Process Inbound HIPAA Messages.

Acknowledgments (for example, 997 and TA1) can be returned to the sender using Trading Networks delivery features. For more information, see the webMethods Trading Networks Administrator’s Guide for your release.