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ITX HIPAA Compliance Check - Claim Level Rejection Basics

  • 1.  ITX HIPAA Compliance Check - Claim Level Rejection Basics

    Posted Tue August 02, 2022 03:23 PM
    Edited by System Admin Thu July 27, 2023 06:29 PM
      |   view attached
    Despite the title of this video "HIPAA Claim Level Rejection Basics", there is nothing basic about claim level rejection. The ITX support of Claim Level Rejection in the ITX Healthcare Pack has been enhanced since it's initial release over a decade ago to incorporate the diverse configuration requirements of dozens of ITX customers.

    Claim Level Rejection (CLR) operates on data with multiple hierarchical loops and there is the expectation to report errors based on the level of failure. This configuration is a facet beyond the basic WEDI/SNIP 1-7 Validation levels. However, by leveraging CLR for your claims and PACDRs, you will have much more control of your validation and reporting.

    In this ten minute video, Ruth Wiegand, Lead Architect for ITX Healthcare, leads you through the theory and configuration of CLR with a series of easy to understand examples.


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    Steph Fetzer
    Product Manager
    IBM Sterling Transformation Extender
    HCL Software
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