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Transformation Extender

Showing 16

Enhance the MQ adapters to allow the Connectivity to Gateway Queue Managers

Due to performance considerations, it's necessary to load balance the high volume loading of queue managers. We need the ability to connect to MQ Gateway queue managers and allow them to facilitate the balancing of data across the multiple queue m...
7 months ago in Transformation Extender / Adapters 0 Planned for future release

enhance Database-Adapter for Oracle to provide insert all statement

due to the performance problems when inserting many rows to oracle database in WAN environment, we need the option of executing an INSERT ALL statement out of the card to target oracle DB. Is it possible to implement this feature to ITX? Single ro...
7 months ago in Transformation Extender / Adapters 0 Planned for future release

NCPDP Compliance Check Enhancement

Enhance the NCPDP compliance checker to provide situational compliance checking for the entire transaction. Some examples are: We would expect a transaction to fail compliance when the Compound segment (AM10) is sent and field 436-E1 in the Claim ...
10 months ago in Transformation Extender / WTX Compliance Checking 0 Planned for future release

999 ISA Control Number

Currently the ISA control number (ISA) always has a value of 000000001 in every 999 transaction that is generated out of compliance. X12.5 Interchange Control Structure section 5.1.2 requires a unique number within a reasonably extended time frame...
over 1 year ago in Transformation Extender / WTX Compliance Checking 1 Planned for future release

Develop a compliance check for the 277CA

It is common for claims processor to do pre-adjudication business editing in addition to doing transaction compliance checking. The results of the pre-adjudicated processing are reported on the 277CA. Currently there is not a compliance map for th...
over 1 year ago in Transformation Extender / WTX Compliance Checking 0 Planned for future release

Type 5 editing based on date of service for medical code sets

Currently type 5 editing is based on processing. Medical codes are based on the date of service and not processing date. We are requesting an enhancement for at least all of the 837 transactions to include the PACDR to edit medical codes sets (ICD...
over 1 year ago in Transformation Extender / WTX Compliance Checking 0 Planned for future release

Claim level reject enhancement

Currently with claim level rejection if there are duplicate CLM01 values, claim level rejection is not possible. We would like the recommend an enhancement to check the entire CLM segment for duplication which may eliminate the duplication of the ...
over 1 year ago in Transformation Extender / WTX Compliance Checking 0 Planned for future release

HIPAA Pack Compliance Check – stop compliance when error threshold is reached.

IBM ITX HIPAA Compliance Check has a parameter that limits the number of Errors reported on the x12 999, but compliance continues to execute even when the 999 reporting limit has been reached. The result is that Compliance can run for more than an...
over 1 year ago in Transformation Extender / WTX Compliance Checking 0 Planned for future release

Claim Level Reject at the Provider, Subscriber or Patient Level

We have received the explanation that claim level rejection works as designed in the 2300 Loop of the 837 and does NOT have rejection capability in the Provider, Subscriber and Patient Loops. Based on our competitors’ capabilities and our client n...
over 2 years ago in Transformation Extender / WTX Compliance Checking 0 Planned for future release

Allow the HIPAA Compliance Reports to be formatted in JSON vs HTML

In the age to REST and Angular Web technologies, having the Compliance report formatted as a JSON Object vs the existing HTML, would be of significant benefit for modern Web / REST interfaces to be able to process the Compliance Report should it b...
about 3 years ago in Transformation Extender / WTX Compliance Checking 3 Planned for future release