This project is read-only.
Project Purpose
This project provides a basis for understanding how BizTalk Server 2006 R2 handles HIPAA processing. This solution also demonstrates the capability for hospitals to achieve a faster adjudication on thier claims and a reduction in thier processing times by using a 3rd party claims processor called Availity The following messaging patterns are demonstrated:
  • 837 Institutional Claim Submission in Batch and Realtime
  • 835 Payment
  • 270 Eligibility Request
  • 271 Eligibility Response
  • Ability to use a HIPAA Preprocessor for working with non validating Claims (

Reporting for the claim submission can be accomplished in 2 ways:
  • Realtime reporting using a ROLAP Cube and SQL 2005 Reporting Services
  • Trend reporting using a MOLAP Cube and Excel or SQL 2005 Reporting Services

HighLevel Overview Diagram:


Reporting Overview:


SharePoint Dashboard:

Excel Analysis:

Please see the Overview document and PPT available in the Releases section. Questions should be posted in the Discussions tab.

Dan Sandlin
Solution Specialist - Microsoft

Last edited Jan 10, 2008 at 12:12 PM by DanSand, version 16