TIBCO Foresight® HIPAA Validator® Desktop Standards and Guidelines Reference
Manual
34 | Supported Guidelines
Document Name
EDISIM
**
Types 1-2
HIPAA Validator
Desktop or Instream
*
Types 1-2
HIPAA Validator
Desktop or Instream
No SVALU Records
Types 1-7
GuidelinePlus
Instream only
DS, RG, TI
Types 1-7
Types 1-2
PDF
(www.wpc-
edi.com)
Value in GS08
Notes
834
Benefit Enrollment and Maintenance
834-X220
834-X220
5010-834
PDSA5010834
PDSX5010834
834-x220-
5010.pdf
005010X220A1
835
Health Care Claim Payment/Advice
835-X221
835-X221
5010-835
PDSA5010835
PDSX5010835
835-X221-
5010.pdf
005010X221A1
837D
Health Care Claims Dental
837-X224
837-X224
5010837D
PDSA5010837D
PDSX5010837D
837-x224-
5010.pdf
005010X224A2
Uses SV1
segment
837I
Health Care Claim Institutional
837-X223
837-X223
5010837I
PDSA5010837I
PDSX5010837I
837-x223-
5010.pdf
005010X223A2
Uses SV3
segment
837I
Health Care Claim Institutional – Medicare A
n/a
n/a
5010-MEDICAREA
PDSA5010MEDICAREA
none
005010X223A2
Uses SV2
segment
837P
Health Care Claim Professional
837-X222
837-X222
5010837P (*CCI)
PDSA5010837P (*CCI)
PDSX5010837P
837-x222-
5010.pdf
005010X222A1
837P
Health Care Claim Professional – Medicare B
n/a
n/a
5010-MEDICAREB (*CCI)
PDSA5010MEDICAREB
(*CCI)
none
005010X222A1