The HIPAA Rule takes precedent. The ANSI X.12N transactions are for the
whole insurance industry, not just healthcare. Even though the 837P IGs may
specifically speak to Property and casualty claims, the Final rule has
excluded the these, so you won't be using this capability that is built into
the 837P transaction.
Herman Doering
Sr. Consultant / HIPAA SME
BEST Consulting
-----Original Message-----
From: James Driscoll [mailto:[EMAIL PROTECTED]]
Sent: Friday, July 27, 2001 5:23 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED];
[EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: T&C set Final rule and 837 Implementation guides
The transaction and code set final rule explicitly excludes Property and
Casualty insurance carriers from the HIPAA mandates. However, the 837
Professional implementation guide specifically speaks to Property and
casualty claims as well as procedures directly related to automobile
insurance. For example, spinal manipulation. Is the final rule in direct
conflict with the 837P IGs? If so, what takes precedent?
Another issue that we are concerned with is the sending and receiving of
claims. If we receive a paper HCFA/UB92, DDE the claim into our system, can
we send it out in the X12 4010 and be HIPAA compliant? What happens if we
receive the claim electronically and drop it to paper, can we send this out
and be HIPAA compliant?
I know the regulation speaks to the difference between content verses
format. Has there been any discussion on this? Any workgroups or white
papers on this issue?
Thank you for your time.
Sincerely,
Jim Driscoll
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