How do you perform "[c]ompliance checking [of EDI data]... before any
translation takes place?"  That itself would require translation of EDI
data!  If you're translating twice, you're undoubtedly doing something
terribly wrong.  Why not just translate the EDI transaction set *once*
and be done with it? After translation, the resultant claims can be
examined for both HIPAA compliance and business suitability.

William J. Kammerer
Novannet, LLC.
Columbus, OH 43221-3859 . USA
+1 (614) 487-0320

----- Original Message ----- 
From: "John Murray" <[EMAIL PROTECTED]>
To: "'Bonnie A. Boucher'" <[EMAIL PROTECTED]>; "'EDI-L Mailing
List'" <[EMAIL PROTECTED]>
Sent: Friday, 17 September, 2004 12:22 PM
Subject: RE: [EDI-L] Level 5....???

Bonnie,

Let me add to what William said about not sticking code set validation
in the translation map. WEDI SNIP also recommends (and I wholeheartedly
agree) that compliance checking and translation should be treated as two
distinct and separate operations. Compliance checking should be a
front-end process that is carried out before any translation takes
place. This offers several benefits. HIPAA compliance is a regulatory
process, while translation is a business process, By combining the logic
for both into your mapping you are then forced to modify both should
either process change, whereas by keeping them separate you only have to
change the appropriate one if the requirements (ie: HIPAA regs or your
business process) change. This simplifies maintenance and reduces the
likelihood that Murphy's law will take a hand.

Regards,

John Murray
703-369-7421

-----Original Message-----
From: Bonnie A. Boucher [mailto:[EMAIL PROTECTED]
Sent: Friday, September 17, 2004 11:01 AM
To: EDI-L Mailing List
Subject: Re: [EDI-L] Level 5....???

Thank you William & John.

My EDI background is Transportation, which I thought was pretty straight
forward, and then I jumped into the Healthcare industry and am now
dealing
with HIPAA and there are times when I feel like my head is spinning.

I appreciate your help!

Thanks,

Bonnie




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