- Original Message -
From: William J. Kammerer [EMAIL PROTECTED]
To: WEDi/SNIP ID Routing [EMAIL PROTECTED]
Sent: Sunday, May 05, 2002 11:57 AM
Subject: Re: our section of the paper wrt.
ProcessSpecification/Role/ServiceBinding/Service
Dick:
Unfortunately, in a message centric
- Original Message -
From: Fody, Kenneth W. [EMAIL PROTECTED]
Today, we do accept claims for non-covered services and, assuming the
information we need to determine whether the benefit is covered or not is
present, we process those claims, and deny them.
But, that means they are
Just a warning about 837s. Even if the 837 claim passes the TA1/997/824 gauntlet it
could still be rejected by a 277 Front End Acknowledgment before reaching an 835. The
billing should expect a response to all 837 claims submitted but the 835 is not the
only transactions that can do this,
My personal two cents worth...I am also disappointed in some of the
comments that have been made since David forwarded the article... I
don't believe that AHA is advocating the payment of fraudulant claims,
or even non-claims ...I believe they were giving voice to the
frustrations of providers
- Original Message -
From: Robert Barclay [EMAIL PROTECTED]
Just a warning about 837s. Even if the 837 claim passes the TA1/997/824
gauntlet it could still be rejected by a 277 Front End Acknowledgment before
reaching an 835. The billing should expect a response to all 837 claims
