Resources for HIPAA 834 benefits

  • Payflow 9.08 or later.

    Includes the necessary support for 834 Benefits. Earlier versions of Payflow do not support the standard.

  • ASCX12 Benefit Enrollment and Maintenance (834) Consolidated Guide

    The implementation guide with a full definition of the standard, published by the Accredited Standards Committee X12 of the American National Standards Institute. The definitive reference guide to the 834 standard.

    Available to buy from: http://store.x12.org/store/health-insurance-exchanges

  • Generic 834 Format File.fs

    The Payflow configuration file containing the 834 format. Import this file into Payflow to create the Generic 834 Format Payflow Service.

    The default Service includes:

    • A Generic834 text Download File.

      You must edit the Header and Footer content to match the requirements of the carrier.

    • Outline mapping for 834 Format Segment IDs to HCM Fields. You must edit the mapping to match the requirements of the carrier.

  • EDINotepad or similar application.

    The Express version is free and enables rendering, editing, and syntax validation of 834 format files.

    Available to download from: http://liaison.com/products/integrate/edi-notepad