HIPAA & PHI Compliance: Secure Data Integration with COZYROC SSIS

How does COZYROC support companies with their Protected Health Information (PHI) initiatives”?


COZYROC supports companies with their Protected Health Information (PHI) initiatives primarily by providing the critical technical infrastructure required for HIPAA-compliant data exchange and secure data integration within the Microsoft SSIS ecosystem.

Rather than offering a standalone "compliance application," COZYROC’s SSIS+ Suite provides specific low-code components that solve the three hardest technical challenges in healthcare data management: handling complex EDI standards, encrypting data at rest, and securing data in transit.

1. HIPAA EDI Data Processing (Interoperability)

The most direct way COZYROC supports PHI initiatives is by solving the interoperability challenge between modern database systems (like SQL Server) and the legacy X12 EDI standards mandated by HIPAA.

  • These data flow components allow organizations to parse incoming HIPAA EDI files into standard database tables or generate valid EDI files from their own data.
  • Supported HIPAA Transaction Sets:
    COZYROC’s EDI configuration supports the complex hierarchical structures of X12 5010 standards required for US healthcare, including:
    • 837 (Claims):
      Professional, Institutional, and Dental claims.
    • 835 (Remittance):
      Payment and explanation of benefits.
    • 834 (Enrollment):
      Benefit enrollment and maintenance.
    • 270/271 (Eligibility):
      Eligibility, coverage, or benefit inquiries and responses.
    • 276/277 (Claim Status):
      Health care claim status request and response.
  • Capabilities:
    The components handle the "heavy lifting" of splitting loops (e.g., Member Loop, Provider Loop) into relational structures, validating segment logic, and managing acknowledgments (997/999) without requiring custom C# coding.

2. Data Security & Encryption (Data at Rest)

Encryption is a cornerstone of the HIPAA Security Rule. COZYROC provides components to ensure PHI is never stored or processed in plain text when it shouldn't be.

  • This Control Flow task implements the OpenPGP standard (RFC 4880/2440). It allows developers to encrypt PHI files using public keys before they leave the secure internal network, or decrypt incoming files from payers/providers using private keys.
  • This component supports compressing and encrypting files containing PHI using standard Zip encryption or strong AES-256 encryption, adding a versatile layer of security for archiving or preparing data for transmission.
  • Send Mail Task:
    Customers can send email messages containing sensitive PHI data and optionally encrypt and sign those messages using S/MIME, ensuring confidentiality and integrity when PHI is distributed via email.
  • Receive Mail Task:
    Customers can receive email messages that contain PHI and optionally decrypt S/MIME‑encrypted emails and attachments, allowing secure ingestion of PHI delivered via email channels.
  • Stream Processing:
    A critical feature for PHI security is that the OpenPGP Task and EDI Source can process data in memory (streams) without ever writing unencrypted temporary files to the disk, significantly reducing the risk of data leakage during processing.

3. Secure Data Transport (Data in Transit)

Moving PHI between entities (e.g., from a hospital to an insurance clearinghouse) requires secure, encrypted channels.

  • Enables secure file transfer over SSH (SFTP). It supports advanced authentication methods (private key, dual factor) often required by healthcare clearinghouses.
  • Supports FTP over SSL (Implicit/Explicit) for legacy healthcare systems that have not yet migrated to SFTP.
  • REST Framework over HTTPS:
    Customers can use COZYROC’s REST framework and REST Connection Manager to interact securely with web applications and APIs over HTTPS, including support for modern authentication patterns and client certificates.
  • FIPS Compatibility:
    While the components themselves use standard cryptographic libraries, they can be configured to use FIPS-compliant algorithms (like AES-256) to meet stricter government or enterprise security mandates.

4. Integration with EHR/EMR Ecosystems

By running within SQL Server Integration Services (SSIS), COZYROC allows companies to bridge the gap between HL7/EDI streams and internal Electronic Health Records (EHR) or Data Warehouses.

  • Scenario:
    A typical implementation involves an SSIS package that downloads a batch of 835 (Payment) files via the File Transfer Task, decrypts them using the OpenPGP Task, and then uses the EDI Source to parse the payment data directly into a finance database for reconciliation, all in a single automated workflow.
  • No-Code/Low-Code:
    This approach replaces fragile custom scripts with maintainable, visual workflows, making it easier for IT teams to audit data flows and demonstrate compliance during audits.

Summary of Capability Mapping

PHI Initiative Requirement

COZYROC Solution

Parse Claims/Enrollment Data

EDI Source (Support for X12 834, 835, 837 and other HIPAA transaction sets)

Generate HIPAA Files

EDI Destination (Support for X12 5010 and other configured transactions sets)

Encrypt Data for Transfer

OpenPGP Task (Asymmetric Encryption) / Zip Task (AES or ZIP encryption)

/ Send Mail Task (Encrypt and Sign(S/MIME)) / Receive Mail Task (Decrypt S/MIME‑encrypted emails and attachments)
Secure Web API Access
REST Framework & REST Connection (HTTPS-based integration with web application and APIs)

Secure File Transmission

File Transfer Task / FTPS Connection (SFTP/SSH/SSL)

Data Minimization

In-Memory Stream Processing (Avoids unencrypted temp files)

 


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