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WTX Compliance Checking

Showing 19

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 Sterling 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...
almost 2 years ago in Sterling Transformation Extender / WTX Compliance Checking 0 Planned for future release

Utility to check compatibility and compliance of maps when upgrading to a new ITX version

ITX to provide an utility that can check if th existing maps are compatible with the new version of ITX or needs recompilation/modification. For shops with hundreds of maps this will identify the maps that need some action, hence improving the mig...
about 2 years ago in Sterling Transformation Extender / WTX Compliance Checking 1 Functionality already exists

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 Sterling Transformation Extender / WTX Compliance Checking 0 Planned for future release

ITXA-Please add the following indexes to the SPE_HIPAA_RULES table.

Please add the following indexes to the SPE_HIPAA_RULES table. CREATE INDEX "B2BADMIN"."I_SP_HRLS_GS08_VALUE" ON "B2BADMIN"."SPE_HIPAA_RULES"("GS08_VALUE" ASC) COMPRESS NOINCLUDE NULL KEYS ALLOW REVERSE SCANS; CREATE INDEX "B2BADMIN"."I_SP_HRLS_ON...
about 3 years ago in Sterling Transformation Extender / WTX Compliance Checking 1 Not under consideration

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 Sterling Transformation Extender / WTX Compliance Checking 3 Planned for future release

Compliance Check map to include the CTX segments in the 999 Negative Acknowledgement

the usage of the CTX segment in the 999 would utilized in the LOOP ID - 2100 - AK2/IK3 ERROR IDENTIFICATION. where the Business Unit Identifier can correctly show the transaction error. TR3 rules state "Required when the error reported in this IK3...
almost 4 years ago in Sterling Transformation Extender / WTX Compliance Checking 5 Not under consideration

We need a Tool to Identify the Cause of HIPAA X12 Compliance Exceptions

Tool to Identify the Cause of HIPAA X12 Compliance Exceptions NASCO routinely receives very large HIPAA X12 transmissions from their business / trading partners. (Very large meaning millions of segments and tens of thousands of transactions.) Onl...
over 4 years ago in Sterling Transformation Extender / WTX Compliance Checking 1 Not under consideration

ITXA - Missing GS ID causes entire file to fail validation

During the Deenvelope service, missing envelope for GS id causes the entire file to fail. The process should fail only the missing GS and continue processing the rest of the file.
almost 5 years ago in Sterling Transformation Extender / WTX Compliance Checking 0 Not under consideration