CALINX agreements address many HIPAA transaction sets and where relevant, all CALINX Data Guidelines are HIPAA compliant. In some cases, CALINX goes further than HIPAA by documenting Rules of Exchange. Click here to view a graphic representing the relationships between CALINX and HIPAA.

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HIPAA

• HIPAA-EDI Implementation Guidelines
• Other HIPAA Resources

CALINX STANDARDS

The CALINX Toolkit includes all the Rules of Exchange and Data Guidelines. You may access the data set(s) of interest below, or print the entire Toolkit by downloading the PDF file from the link at the bottom of the page.

Enrollment

• Rules of Exchange
• Data Guidelines

Member ID Card

• Rules of Exchange
• Data Guidelines
• Sample Card

Eligibility

• Rules of Exchange
• Single Member Response
• Full Roster
• Data Template

Encounter

• Rules of Exchange
• Data Guidelines
• Encounter HMOIS Standard

Pharmacy

• Rules of Exchange
• Data Guidelines
• Pharmacy Implementation Guide
• Sample Intent and Contract Language

Laboratory

• Rules of Exchange
• Laboratory Procedure for Plan-Patient Contact
• PMG DSM Refusal Algorithm

CALINX Toolkit (download PDF file, 93 pages)