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This is often done through the buyer's internal software systems. EDI X12 (Electronic Data Interchange) is data format based on ASC X12 standards. These files are the first that begin the healthcare insurance claims and remittance process. The implementation of EDI in the medical billing process aims to minimize manual tasks, which can lead to faster processing times and. Using a for-each action, iterate over the repeating elements to handle one EDI document at a time. Once you have successfully validated your EDI Import file format, information will be provided in the HHAX Regional Information sessions regarding next steps in the EDI Process. Electronic Data Interchange - or EDI - is the secure, automated exchange of electronic documents, such as purchase orders, invoices and delivery notes, between businesses or trading partners. HIPAA EDI software helps medical firms boost transaction efficiency, minimizing errors like typos and incorrect entries. An EDI file is a data file formatted using one of several Electronic Data Interchange (EDI) standards. Flat files, XML, EDI … you know, now, all about the different types of files that make it possible to exchange information electronically. Testing an EDI 834 file is a crucial step in the journey of data exchange within the healthcare domain. The following links relay important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). Working knowledge of file encryption software, such as PGP and IBM MQ; Create a Resume in Minutes. For the most current informat. 4B merger with Forum Merger III, plans to liquidate through a Chapter 7 bankruptcy process Commercial EV maker. It allows for direct sharing of remittance advice from payers, through financial. 19Net library which is opensource and supports all three known EDI formats (X12, EDIFact, Tradacoms). IDOC stands for " Intermediate Document" When we execute an outbound ALE or EDI Process, an IDOC is created. HIPAA EDI software helps medical firms boost transaction efficiency, minimizing errors like typos and incorrect entries. SAP standard IDOC processing provides very useful ready-made solutions. This chapter contains the following topics: Electronic Data Interchange, often shortened to EDI, works as a common language, enabling businesses to communicate effectively. HIPAA has national standards for health care Electronic Data Interchange (EDI) transaction and code sets. Introducing large file support: Process EDI files up to 500MB (and growing) EDI formats are designed to use as little space as possible, but most companies still eventually need to process files that are tens or hundreds of megabytes. EDI is the electronic exchange of business documents between trading partners. Making file tabs can be done by utilizing templates that are available online and on your computer. When a new EDI file arrives over a connection, Stedi automatically: Confirms that the information in the file's ISA headers matches the corresponding partnership. Electronic Data Interchange (EDI) is like a high-tech translator for businesses. The Rejected claims reported on the 277CA should be reviewed, corrected, and resubmitted. edi. The Health Insurance Portability and Accountability Act was enacted by the U A key component of HIPAA is the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans and employers. Mostly it is used for sending claims to insurance firms. EDI organises the flow of information from one end of the supply chain to the other. Automation and Process Orchestration: Easily define process orchestration for both incoming and outgoing EDI files. It creates a secret drawer in your desktop that opens with a keyboard shortc. Jan 5, 2024 · The recipient’s system receives and processes the EDI message, extracting the relevant data and integrating it into their internal systems. This question is about Car Insurance Subrogation @WalletHub • 10/06/21 This answer was first published on 03/08/21 and it was last updated on 10/06/21. Most brands have to manually generate their EDI 810 files within an EDI solution. In today’s fast-paced business environment, efficient inventory management is crucial for companies to maintain a competitive edge. As seen in the flow, the parsing and processing of EDI data to other formats using the X12 Connector is straight-forward. Nov 5, 2020 · EDI 834 file is a standard format for employers to communicate employees’ health insurance enrollment and maintenance data to the insurance carrier. handling instead of data entry. These notifications are critical for triggering subsequent processes in your EDI Processing System. or centres who do not have Direct Claims Status (DCS) for a qualifi It replaces the previous 'results override' manual claims form Just copy paste the EDI file on the left, and select "JSON" view on the right hand side. EDIReceivePipeline ). Electronic data interchange (EDI) is defined as the direct exchange of business-related documents between two computers based on a fixed standard with electronic counterparts of common documents such as purchase orders, request supports, invoices, etc. Step 1: Prepare the documents to be sent. Templates make the process easier because you can use the pre-designed format a. Businesses can use various EDI codes to facilitate B2B processes and transactions. One of its variations, 834 EDI File, is a distinct document format predominantly used in the healthcare sector. In today’s fast-paced business environment, efficient inventory management is crucial for companies to maintain a competitive edge. There are mainly two standards: X12 and EDIFACT. Document Standards Used. It facilitates the exchange of patient information, claims, and billing records between healthcare providers, insurance companies, and third-party billing entities. HIPAA has national standards for health care Electronic Data Interchange (EDI) transaction and code sets. 11427, 05-20-22) Transmittals for Chapter 24. Acting as a digital guide, it directs the payment process, ensuring accurate and timely transactions. Each EDI transaction file contains a transaction header segment, one or more data segments, and a transaction trailer segment. Chartered by the American National Standards Institute for more than 40 years, X12 develops and maintains EDI standards and XML schemas which drive business processes globally. In simple words , an idoc is like a data file with a specified format which is exchanged between 2 systems which know how to interpret that data. Here we will illustrate step by step approach for handling EDI Scenario in SAP PI ( AS2 To File scenario). If not, the file will error, and you can retry after creating the required configuration. Streamlined order processes: An EDI 820, as well as other EDI documents, makes receiving, fulfilling, and obtaining payments for orders far more efficient An EDI 820 also provides benefits to buyers, including the following: Standardized payment processes: An EDI 820 keeps everyone on the same page, simplifying payment processes. 1 Click the “Upload” Button. Written by TBS Staff Writers Contributing Writer Learn abo. Electronic Data Interchange (EDI) is defined as the exchange of business data from one computer to another computer using a public standard format. The 834 EDI files also contain information that allows the software to then match each payment to the proper claim and patients' account Batch Attachment Response. The EDI 277 Claim Status Response is sent by the payer. Hybrid work in New York, NY 10010 $50,000 - $60,000 a year Easily apply. The sources of data and the methods available to generate the electronic documents can include: Receiving an EDI document is basically the reverse of the sending process. EDI documents include purchase orders, invoices, payment documents, bills of lading. EDI communication can take place through various methods, including Value-Added Networks (VANs), direct connections (AS2, FTP, SFTP), or web-based EDI solutions. EDI processing including successful transmission and timely processing of drug orders, invoices, price files, and claims. HEIDI is an EDI viewer designed to help EDI analysts troubleshoot HIPAA X12 EDI files and (soon) NCPDP Pharmacy files. Several key EDI file types empower TPAs and healthcare providers to handle benefit enrollment, payment processing, and claim submission with enhanced speed and minimized errors. waite • 11/19/20 This answer was first published on 03/25/20 and it was last updated on 11/19/20. These files are the first that begin the healthcare insurance claims and remittance process. Electronic Data Interchange - or EDI - is the secure, automated exchange of electronic documents, such as purchase orders, invoices and delivery notes, between businesses or trading partners. This happened because there were high number of inactive database sessions thereby restricting new database connections and weblogic was unable to close the. A typical Z file process flow con-sists of six main components: •The source data or interface file When SAP ERP is integrated with EDI, it allows for seamless electronic communication and data exchange between SAP systems and the explicit systems. Various data used by companies for exchange can be healthcare records, invoices, purchase orders, etc. CSV files are formatted like spreadsheets but saved as text files. By moving from a paper-based exchange of business document to one that is electronic, businesses enjoy major benefits such as reduced cost, increased processing speed, reduced errors and. Test EDI files Submission and Validation Guides The process of submitting test EDI files varies based on the selected platform and the implementation method. However, for some, it can be much more complicated. 835 and 837 Files Frequently Asked Questions The 835 and 837 transactions form the backbone of electronic data interchange in healthcare finance, facilitating seamless communication and transaction processing between payers and providers. The raw documents and the transformed JSON or XML files are stored on Amazon Simple Storage Service (Amazon S3). Step 1: Prepare the documents to be sent. young lesley stahl You add logic to your service to invoke the built-in service that the EDI Module provides to generate the FA. Its adoption offers numerous benefits, including enhanced efficiency, cost savings, improved accuracy, faster reimbursement, and increased data security. Order management (operations specialist) Polaroid International BV. EDI has been used in healthcare for decades on the payer side for determination of coverage and benefits verification. This allows you to build event-driven. EDI is a standard for exchanging business documents in a standardized format. Top 33 EDI Specialist Interview Questions and Answers 2024. One crucial aspect of EDI is the EDI 835 file, which plays a vital role in healthcare payment processing. The automated approval process is available from 4:00 a to 11:00 p (CT), Monday through Friday. The payer may send an EDI 277 Claim Acknowledgement of all claims received in the payer's pre-processing system. One of its variations, 834 EDI File, is a distinct document format predominantly used in the healthcare sector. Find important information for providers, software developers, and trading partners that communicate via electronic data interchange format and direct data entry. Electronic data interchange (EDI) is a technology that exchanges information between organizations in a structured digital form based on regulated message formats and standards. koolaburra by ugg lezly women The EDI 850 (or EDI purchase order) is an electronic purchase order sent from a buyer to a seller, requesting goods or services. An EDI file is a data file structured using one of the several EDI standards. Instead of using traditional methods such as paper, fax, and e-mail, EDI allows for the secure, automated exchange of vital information – such as purchase orders (PO) and invoices – between businesses. Most other forms of communication, including email, require a human to process. For electronic claim file rejections and acknowledgment questions, please contact SDS at streamus or 855. Availity provides standard response files recommended in the official HIPAA implementation guides (called TR3s) and proprietary reports for end-to-end tracking and accountability of each submitted transaction. The 277CA Claims Acknowledgement report (277CA) is to provide a claim-level acknowledgement of all claims received in the front-end processing system before claims are sent into IEHP claim processing system. How long is the USAA auto insurance claim time limit? We have what you need to know for making a claim with USAA. waite • 11/19/20 This answer was first published on 03/25/20 and it was last updated on 11/19/20. PilotFish’s eiConsole for X12 EDI delivers administrative savings, higher data quality and faster processing of claims (EDI 837), authorizations (EDI 820), benefit enrollments (EDI 834), eligibility requirements (EDI 270/271), acknowledgments (EDI 997/999. first runs the custom process from the backend mapping that you defined in the partner definition. Electronic Data Interchange (EDI) You can save time and money by using Electronic Data Interchange (EDI) - the electronic exchange of routine business data - to transmit quarterly and monthly tax information for certain taxes. Technical standards for EDI exist to facilitate parties transacting such instruments without having to make special arrangements. 4 EDI files must meet the following criteria: File Size: The file cannot be empty, i 0 kb. poke house menu Electronic Data Interchange (EDI) is the computer-to-computer exchange of business documents in a standard electronic format between business partners. These documents are then sent via EDI protocols to the service. Jan 5, 2024 · The recipient’s system receives and processes the EDI message, extracting the relevant data and integrating it into their internal systems. Batch Attachment Response. Chapter 24 - General EDI and EDI Support Requirements, Electronic Claims, and Mandatory Electronic Filing of Medicare Claims. Test EDI files Submission and Validation Guides The process of submitting test EDI files varies based on the selected platform and the implementation method. Invoicing, processing purchase orders, and data entry are time-consuming in a non-EDI environment. In simple words , an idoc is like a data file with a specified format which is exchanged between 2 systems which know how to interpret that data. This question is about Driving Without Insurance @WalletHub • 01/13/21 This answer was first published on 12/10/19 and it was last updated on 01/13/21. If you want to take your movies with you on the road, or just want to clean up those physical discs but keep your films and TV shows on your HTPC, you’ll need to rip them first Chase teamed up with Samsung to allow its Chase Pay app to be used in conjunction with Samsung Pay, which is accepted at millions of retailers. By using a standardized electronic format, healthcare organizations can streamline their claims submission process, reduce administrative. Full processing of EDI ANSI X12 transaction sets: 856, 850, 855, 864, 997, 753, 754, 820, and 810 documents. Let us consider for example, different inbounds EDI transactions are embedded in a single file, if i do a actual processing using http client to sent the document to wmreceive service, I am not able to process it. Templates make the process easier because you can use the pre-designed format a. Medicare Claims Processing Manual.
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These standards support consistency in electronic exchange of data among providers, health care plans, clearinghouses, vendors and other health care business associates. On the Data lake page, choose Add New Source. The reason for this is EDI providers charge per-order fees to automate EDI transactions, which is prohibitive for brands and eats into their margins. The Complete Guide to Electronic Data Interchange. The following dropdowns provide more detailed information about each transaction type. How doctors record patient files and process medical claims unfortunately have not. Filing paper claims can be time consuming. Electronic Data Interchange is the electronic exchange of business documents between a company and its trading partners using standardized formats. These standards support consistency in electronic exchange of data among providers, health care plans, clearinghouses, vendors and other health care business associates. HIPAA EDI Document Standard. There are different standards for exchanging electronic business documents, like American National Feb 1, 2021 · EDI Receive-Side Processing. Using EDI transactions for the healthcare industry guarantees secure data transmissions between authorized parties, supplies, insurers, and patients. Electronic Data Interchange (EDI) is the electronic communication of exam related data back and forth between City & Guilds and centres. Written by James Mielke Con. Mar 16, 2024 · In simple words , an idoc is like a data file with a specified format which is exchanged between 2 systems which know how to interpret that data. open health is pleased to partner with TriWest Healthcare Alliance to administer claims processing for the Department of Veterans Affairs (VA) Community Care Network. Develops and analyzes complex GIS BPML (Business Process. 1. EDI replaces the traditional processes of preparing data in paper form and sending it by mail or by facsimile. Electronic Data Interchange (EDI) Solutions. 10 - Introduction to Electronic Data Interchange (EDI) for Medicare Fee For Services (FFS) 10 EDI data mapping is the process of translating EDI data into a format that can be easily used by a system, such as an ERP solution or other recipient systems (e WMS, TMS). dat with all lower case (for example - My_Hipaa_File The use of EDI 837 files has several benefits for healthcare organizations, including improved efficiency and accuracy in claims processing, reduction of errors and rejections, and faster reimbursement times. For example, instead of printing a purchase order, your system creates an electronic file with the necessary information to build an EDI document. Depending on your organization's preferred business process, you can transfer EDI files to Ascend through Applicability Statement 2 (AS2) or Secure File Transfer Protocol (SFTP) AS2 is the recommended method for transferring EDI files because it is fully encrypted. Oct 4, 2023 · Recovering healthcare claims from insurance providers is an essential part of good revenue cycle managemen t, but the process is convoluted. An EDI file is sent after creating a claim, representing the outgoing communication of the insurance billing process. EDI documents include purchase orders, invoices, payment documents, bills of lading. 2) SAP cannot understand EDI format. meet the requirements for HIPAA electronic 837 transactions and code sets. Written by Evan Thompson Contribu. CData Arc is industry's #1, most trusted EDI software. Identifies all available transaction sets in the file and. 11427, 05-20-22) Transmittals for Chapter 24. EDIReceivePipeline ). Electronic data interchange (EDI) is defined as the direct exchange of business-related documents between two computers based on a fixed standard with electronic counterparts of common documents such as purchase orders, request supports, invoices, etc. It also describes how a trading partner agreement definition in BizTalk Server can be leveraged for EDI messaging, receive-side EDI processing, and send-side EDI processing. The document is then formatted in compliance with a specific EDI standard, such as ANSI X12 or UN/EDIFACT. You need to get it via your standard channels -- the same way you get other INFA products. bozeman animal shelter Various data used by companies for exchange can be healthcare records, invoices, purchase orders, etc. ETF is a subset of EDI and uses FTP servers to exchange business documents. Mostly it is used for sending claims to insurance firms. In addition, review payer responses to Availity Web-based claim forms submitted to payers that process claims in batches. June 27, 2024 — 11 am PT / 1 pm CT / 2 pm ET. After the funeral arrangements and services have concluded, however, it is time to. By clicking "TRY IT", I agree to receive newsletters and promotions from Money and its partners Even if you normally pay to submit your federal tax return, you can probably save your cash this year. In today’s digital age, electronic data interchange (EDI) has become the backbone of communication and transactional processes for many businesses. The platform encapsulates the complexity of EDI and helps you integrate with external systems, such as ERPs, iPaaS platforms, and custom applications. Validating the EDI 834 process file After creating the EDI 834 file using enrollment data collected, the sender performs a thorough validation of the file before transmission. 1 EDI file submission methods Availity provides the following modes for submitting batch files of EDI transactions. answered Jul 15, 2011 at 16:48 Use Electronic Data Interchange (EDI) to update the interface table. An EDI file is a binary computer file that contains data. It streamlines the process by removing the need for manual data entry and mailing paper invoices. lg top load washing machine making noise when spinning This file is used by a multitude of organizations, such as employers, TPAs and insurance agencies, for enrolling their members directly into a benefit plan. Use the B2B action and parse one EDI document at a time. EDI files received outside of these hours will be reviewed during the next approval process window. When you submit claims to Cigna Healthcare SM electronically, including coordination of benefits (COB) claims, your practice can gain many benefits such as: These electronic data interchange (EDI) vendors 1 securely transmit data electronically to Cigna Healthcare. Get frictionless data flow across your supply chain and integrated EDI processing, mapping & translation. Electronic Data Interchange (EDI) You can save time and money by using Electronic Data Interchange (EDI) - the electronic exchange of routine business data - to transmit quarterly and monthly tax information for certain taxes. Electronic Transactions not only make good business sense; they are also required by law. An EDI file is sent after creating a claim, representing the outgoing communication of the insurance billing process. This article dives into the specifics of Loop 2000B and assumes that you know how to read an EDI (837) file. Using a for-each action, iterate over the repeating elements to handle one EDI document at a time. This blog post will focus on X12 syntax only. pre-packaged, EDI processing mapping. For incoming transactions, an EDI solution translates, or "maps," the data sent by supply chain partners — such as suppliers, retailers, or carriers — into a format that your internal systems and/or users can comprehend and process. The Rejected claims reported on the 277CA should be reviewed, corrected, and resubmitted. edi. They may help you understand and resolve any issues that may occur with electronic claim submissions. It is a way for different companies to communicate with each other using digital messages, instead of using paper documents. For the most current informat. For electronic claim file rejections and acknowledgment questions, please contact SDS at streamus or 855.
Use PilotFish's EDI transaction guide for quick identification of entities that send and receive EDI X12 transactions for easy workflow visualization. waite • 11/19/20 This answer was first published on 03/25/20 and it was last updated on 11/19/20. Whether you’re dealing with an insurance claim, a warranty claim, or any other type of cl. To ingest data from an EDI data source, perform the following procedure. sfm compole This happened because there were high number of inactive database sessions thereby restricting new database connections and weblogic was unable to close the. The term EDI encompasses the entire electronic data interchange process, including the transmission, message flow, document format, and software used to interpret the documents take the received EDI file (commonly referred to as an "envelope"), and validate that the trading partner who is sending the file is a valid trading partner, that. They are putting all parts on the release under 1 sales. The converted XML file then gets pushed into Google Drive using Google's APIs and is picked up by a Sterling Java Task once again to load back into the Back-End EDI system. international fault code 241 254 Prepare the Documents: A buyer will collect and organize the data necessary for the transaction, such as a purchase order. For example, instead of printing a purchase order, your system creates an electronic file with the necessary information to build an EDI document. The data are stored in SDATA field. This question is about Car Insurance Claims @anamarie. x 22 report bitchute Jan 5, 2024 · The recipient’s system receives and processes the EDI message, extracting the relevant data and integrating it into their internal systems. In addition, review payer responses to Availity Web-based claim forms submitted to payers that process claims in batches. For instance, the EDI 856 transaction file (also known as the Advance Ship Notice or ASN ), serves to identify shipping information to a trading partner. Once you are setup for EDI processing, the next step is to setup the EDI file format for that vendor in PDI CStore Essentials. Electronic Data Interchange (EDI) is the computer-to-computer exchange of business documents in a standard electronic format between business partners. The EDI process typically begins with a sender creating an electronic document using their internal software or an EDI service provider. Explore how it works, types and examples.
The reason for this is EDI providers charge per-order fees to automate EDI transactions, which is prohibitive for brands and eats into their margins. Table of Contents (Rev. Let us consider for example, different inbounds EDI transactions are embedded in a single file, if i do a actual processing using http client to sent the document to wmreceive service, I am not able to process it. The outbound flow for EDI messages includes the following stages: When an outbound process starts, B2B Gateway. Explicit Systems can be suppliers, customers, and logistics providers. The Health Insurance Portability and Accountability Act was enacted by the U A key component of HIPAA is the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans and employers. The Inbound process is the receiving and translating of EDI files. The simple definition of EDI is that it is a standard electronic format that replaces paper-based documents such as purchase orders or invoices. This question is about Collision Insurance @winslow_arizona • 09/03/21 This answer was first published on 11/05/19 and it was last updated on 09/03/21. It automates the exchange of business documents and electronic documents, such as payment, customs, and inventory documents, between computer systems. HUD receives the file, translates it, and updates IDIS with the information the grantee has. This process ensures that the receiving system correctly interprets the data sent by the other system. You'll just supply the 837 data in a XML format and it will create a valid X12 file. When BizTalk Server receives an EDI message, it processes the message in the EDI receive pipeline. An EDI invoice differs from a PDF invoice or electronic invoice (e-invoice), as it contains specific, well-structured information. The text file is sent electronically to HUD via a Value Added Network (VAN). This blog post will focus on X12 syntax only. what happen to spankbang The Health Insurance Portability and Accountability Act was enacted by the U A key component of HIPAA is the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans and employers. The EDI 834 file healthcare transaction set plays a vital role in today's heavily automated healthcare system. Generating an EDI file with EDI Tools for. It is a way for different companies to communicate with each other using digital messages, instead of using paper documents. Purpose & Roadmap To provide participants with an understanding of the process of submitting encounter data and to create awareness of the encounter data resources available for future reference. Moreover, EDI ensures data accuracy. So the EDI file needs to be changed to SAP understandable format, usually it is an IDOC. So the EDI file needs to be changed to SAP understandable format, usually it is an IDOC. PilotFish’s eiConsole for X12 EDI delivers administrative savings, higher data quality and faster processing of claims (EDI 837), authorizations (EDI 820), benefit enrollments (EDI 834), eligibility requirements (EDI 270/271), acknowledgments (EDI 997/999. EDI stands for Electronic Data Interchange. If you have questions or need information regarding VA CCN Electronic Data Interchange that are not included in this FAQ, please contact the PGBA EDI Help Desk at 1-800-259-0264, option 1. Non-EDI file types. The cycle involves moving solicitations, installments, buy orders, transporting visits, and other required archives electronically, subsequently eradicating any. 4 Processing EDI Documents. Data typically shared via EDI 837 Claims in healthcare. Table of Contents (Rev. Data files are exchanged in a standard format to minimize manual effort, speed data processing, and ensure accuracy. dating sites for 10 13 year olds unblocked June 27, 2024 — 11 am PT / 1 pm CT / 2 pm ET. This solution template shows you how to use the new Talend Data Mapper features to import UN/EDIFACT specifications to create data mapper structures. It streamlines the process by removing the need for manual data entry and mailing paper invoices. It depends on your application design. Robotic process automation platform UiPath added its name to the list of companies pursuing public-market offerings this morning with the release of its S-1 filing If you need to know how to check if your taxes were filed, it can help to first understand the IRS turnaround timelines on processing returns and refunds. SAP standard IDOC processing provides very useful ready-made solutions. Discover the different methods of EDI file communication, including VAN, AS2, FTP, and direct connection, in this comprehensive guide. In short, EDI standards (aka EDI file formats) are the specific guidelines that govern the content and format of B2B documents such as orders, invoices and order responses. Populate that instance with data, usually, this requires custom code to convert either a database/domain object. It was created in the 70's as a replacement for paper documents. HTTP/HTTPS is useful for data transmission over the web, with HTTPS guaranteeing safe, encrypted communication. The sources of data and the methods available to generate the electronic documents can include: Receiving an EDI document is basically the reverse of the sending process. Posted Posted 1 day ago · More. hello, we are having some weird problems in Epicor lately, any suggestion is appretiated. Here are some of the advantages: Automation: EDI automates the exchange of order-related information between trading partners. Intuitive User Interface: Our EDI tool offers an intuitive and user-friendly interface that allows for drag-and-drop visual mapping. NET tutorial, it is assumed that you have gone through the first part ( EDI Tools for. This in turn automates the posting of payments into the system. Here are some of the advantages: Automation: EDI automates the exchange of order-related information between trading partners. The field mapping and any necessary transformations are configurable via the standard SSIS means.