HIPAA Transactions Convergence Project

Ingenix is sponsoring the Convergence Project as a mechanism to help the industry converge on a common set of HIPAA transaction requirements by identifying the data requirements contained in 4010A1 companion documents and comparing requirements among multiple lists. The goal is to minimize the need for unique data requirements in companion documents and to help reduce the burden of companion documents.

Ingenix provides free access to the HIPAA Transaction Requirement Lists, a visual comparison tool, and the ability for payers and others to define and maintain their own requirement lists for all the HIPAA transactions. Access is free after registering with Claredi Classic for this project. If you need assistance in creating or maintaining your own requirement lists for this project, please contact Claredi Classic Customer Support at 1-800-765-6818, option 8.

Requirement lists may be viewed and also downloaded in machine-readable form. If you need these lists in other formats, or sent to you automatically on a subscription basis, contact Ingenix Sales at 1-800-765-6089. If you want claims or other HIPAA transaction data matched against requirement lists, open a Claredi Classic account.

The following standards-setting organizations and industry associations are among those participating in the HIPAA Transactions Convergence Project:

Standards Development Organizations
NUBC (National Uniform Billing Committee)
NUCC (National Uniform Claim Committee)
American Dental Association (Dental Content Committee)

Associations, Government and Other
American Academy of Family Physicians
American Society for Automation in Pharmacy
Medical Banking Project
NCHICA (North Carolina Healthcare Information and Communications Alliance)
New Jersey Department of Banking and Insurance

Other participating organizations may be found in the Requirement Lists. If you want your organization listed as participating in the Convergence Project, please contact Claredi Classic Customer Support at 1-800-765-6818, option 8.

To view an electronic copy of the Convergence Project User Manual, click here.


Ingenix' Convergence Project reflects only the good faith interpretation of requirements for HIPAA transactions made by the publisher of each list. These interpretations are not reviewed or approved by Ingenix or any governmental or private entity. Publisher's or other person's interpretations may differ. Ingenix disclaims all warranties and accepts no liability for user's reliance or use of Ingenix' Convergence system.


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  wjcp3clcweb06 -- 25 February 2017 -- 11:08:13 AM MDT