Module for HIPAA 9.6.April 2016 | Understanding and Using HIPAA Module | Installing and Using HIPAA Module | Concepts | HIPAA Validation Levels
 
HIPAA Validation Levels
The HIPAA Implementation Guidelines specify six levels of message validation. Module for HIPAA supports Levels 1, 2, 3, and 5.
Level
Description
1
Integrity. Validates the syntactical integrity of the X12 EDI document. Validation at this level includes testing for valid segments, segment order, and element attributes.
2
Requirement. Validates the syntax rules meet the HIPAA Implementation Guidelines. Validation at this level includes testing for required repeat counts, used and unused codes, and required or inter-segmental data elements.
3
Balancing. Validates the transaction for balanced field totals, record or segment counts, financial balancing of claims or remittance advice, and balancing of summary fields.
5
Code Set. Validates that the transaction uses valid code set values as described in the HIPAA Implementation Guidelines (for example, CPT, NDC).