IBM Sterling Ideas

formerly Watson Supply Chain

Submit new product ideas for IBM Sterling solutions. Before you submit, please review existing ideas; if an idea close to yours already exists, it's better to add comments or vote on the existing idea. We will review your ideas and use them to help prioritize our product development. Best of all, the portal will automatically update you when the status of your idea has been changed. Order Management, Store Engagement, Watson Order Optimizer, Inventory Visibility, CPQ and Call Center are now part of Watson Supply Chain

Connect with IBM experts and your peers on the Supply Chain Collaboration Community and the Order Management Interest Group

We need a Tool to Identify the Cause of HIPAA X12 Compliance Exceptions

Tool to Identify the Cause of HIPAA X12 Compliance Exceptions

NASCO routinely receives very large HIPAA X12 transmissions from their business / trading partners. (Very large meaning millions of segments and tens of thousands of transactions.) Only a very small percentage of the transaction content is expected to fail compliance checking. Occasionally, however, we find that there are situations where the majority of the transactions end up getting rejected because one or more instances of non-compliance recurs throughout the transmission. When this happens, the standard acknowledgement processes are likely to generate lots of output without necessarily providing the insight needed to resolve the problem.  

 

It would be helpful to have an application that could to identify the root cause of compliance exceptions that recur throughout the HIPAA X12 transmission. This information could then be used to request changes on the part of the trading partner that has sent the data or to provide guidance on rules that need to be disabled using configurable rules.

  • Avatar32.5fb70cce7410889e661286fd7f1897de Guest
  • Aug 31 2018
  • Declined
How will this idea be used?

Identifies the Cause of HIPAA X12 Compliance Exceptions when NASCO receives huge files from their Trading Partners / Plans with NON-HIPAA Compliant errors.

What is your industry? Healthcare
What is the idea priority? Medium
DeveloperWorks ID
RTC ID
Link to original RFE
  • Attach files
  • Admin
    Luke Raiano commented
    July 30, 2019 17:46

    Better geared to a services engagement. LIkely a good use case for machine learning, but no current (18mos) plans to productize