IRIS Payer SNIP Validation Studio: Fast, accurate X12 compliance with partner guide overlays

Summary

Real-time and batch X12 HIPAA SNIP validation (Levels 1–7) with payer implementation guide overlays inside the IRIS Management Portal—boosting first-pass acceptance and accelerating partner onboarding.

Customer value

• 8–15% lift in first-pass acceptance; 30–50% faster onboarding.

• Fewer incidents from IG/code-set drift; auditable compliance.

• Low-friction adoption in existing IRIS namespaces.

Key features (SNIP-only)

• Parse 837P/I and 270/271; canonical X12 classes (Interchange/Group/Transaction/Loop/Segment/Element).

• Rule engine for SNIP Levels 1–7 with payer overlays (PayerProfile) and effective-date code-set checks (ICD/CPT/NDC/Revenue/POS).

• Visual transaction tree with segment/element-level citations; scorecards; optional 999/TA1 mapping.

• Runs in real time (ingress) or batch; exports PDF/CSV reports.

Implementable on IRIS

• EnsLib File/FTP/AS2/HTTP Services → SNIPValidation.Process → EDI.SNIP.Validator.

• Results in EDI.SNIP.Result; SQL/REST views; ENS.Alert integration.

• zpm-packaged rule packs; versioned, diffable overlays.

MVP (90 days)

• Levels 1–3 + starter Level 4; one payer overlay; 999/TA1 mapping.

• 100 TPS validation; <2s drill-down; deployable as a zpm module.

Go-to-market (payer expansion)

• Offer as a standalone add-on for payers/TPAs/clearinghouses.

• Ship starter rule packs; 2–4 week services accelerator to load code sets and IG overlays.

• Win with pilots on daily batches showing immediate rejection reduction.