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For 5010 Transactions, refer to the HIPAA 5010 Consortiums and Documentation Webpage for testing specifications.
Each AHCCCS trading partner is responsible for ensuring that its transactions are compliant with HIPAA mandates based on the types of testing described below.
AHCCCS encourages providers and other entities to use either a third party tool or AHCCCS’ Community Manager tool to certify that the entity can produce and accept HIPAA compliant transactions. Success is determined by the ability to pass the seven types of compliance tests listed below. The initial four of the seven types of testing are also used as categories for edits performed by the AHCCCS translator.
The testing types have been developed by the Workgroup for Electronic Data Interchange (WEDI), a private sector organization concerned with
implementation of electronic transactions. They are:
Test Data and Privacy
AHCCCS believes that, when possible, using real-life production data enhances the overall value of the compliance testing process. If a covered entity elects to use production data in testing, it must ensure that it remains in compliance with all federal and state privacy regulations. Data (e.g., names and identification numbers) that would make it possible to identify particular individuals should be removed or encrypted.
AHCCCS expects that patient identifiable information will be encrypted or eliminated from test data submitted to the certification testing system unless the testing system is in compliance with all HIPAA regulations concerning security, privacy, and business associate specifications.
For EDI inquiries, roster issues, or to become an AHCCCS Trading Partner, please email us at: EDICustomerSupport@azahcccs.gov