Reading an X12 837 file in CL 5.6

[Don Leutner]

This is our first project dealing with X12 837s and so far I have been unable to process.  I have a an X12 batch file that contains the envelope ISA/GS pairs, which I know need to be removed, but have been unable to get the split interchange tcl to do that.  Where does this tcl have to be placed?

I want to read in the file, which could contain multiple ST sets, and remove all records that ARE NOT medicare or medicaid.  Assume I will need to go thru an xlt for that and supress these records.  What would be best way to determine which records to suppress?  The resultant mcare and mcaid records are to be outbound just as the original file with the envelope.  Assume this to be the build interchange tcl.  Again, where does this get placed?

Anything anybody can give me regarding the setup of these inbound and outbound threads would be appreciated.  Am in the process of getting the companion guide also because I do not know what variant to use.  What is typical for an 837 variant?

Topic

[Jim Kosloskey]

Don,

The hcisplitinterchange proc provided has an issue. I have a replacement I use which I can send to you if you like. If you want it, just email me.

You place the split proc in the inbound TPS. What it does is to place the appropriate envelope informastion into the messages’ metadata USERDATA field and remove the envelope (down to the GS or ST levle – that is where the flaw is).

As to how you would remove specific Transaction Sets – that can be done either in a Tcl proc (pre-route most likely) which is generally preferred or via an Xlate.

Now the question (using either method) is on what do I filter?

That is largely determined by the 837 Companion Guide you should have from the sending Trading Partner. If you don’t have one contact the Trading Partner and get one. It is also a good idea to have the Implementation Guide (acquired either from the X12 organization or Washington Publishing – depending on the version level as I recall).

The build interchange proc (works fine by the way) will go on any outbound X12 connections in the Outbound Tps UPoC.

email: jim.kosloskey@jim-kosloskey.com 30+ years Cloverleaf, 60 years IT – old fart.

[Bob Schmid]

Would anyone have Jim’s rewritten splitinterchange proc?

Thanks

Bob

bob_schmid@health-partners.org

[Author]

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