Sandy,
 
You should not look at the testing levels as separate entities. In order to produce HIPAA compliant transactions you will need to validate or certify the entire file which must conform to all the testing requirements. The six levels were broken out to give more clarity to the types of testing, but you should look at testing as whole instead of separate pieces. And of course your testing plans should only cover your lines of business so some tests may not be required.
 
Mark A Lott
CIO
HIPAA Testing, Inc.
480-946-7200
 
"Automating HIPAA Compliance"
 
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