This question has raised another question at our organization.  We are
considering purchasing a product from our payor software vendor that would
allow web access to providers for eligibility inquiry, referrals, and claim
status inquiries.  Is this sufficient to comply with the HIPAA requirements
for electronic capabilities for these transactions or must we also be able
to accept and return an EDI 'batch' transaction for providers?

Tammy Neumeister
SAS Programmer
MercyCare Insurance Company
PO Box 2770
Janesville,  WI 53547-2770
800-752-3431 X 3068
Direct 608-758-7725
Fax 608-752-3751
[EMAIL PROTECTED]


> -----Original Message-----
> From: Karen LaJaunie [SMTP:[EMAIL PROTECTED]]
> Sent: Monday, October 08, 2001 3:44 PM
> To:   [EMAIL PROTECTED]
> Subject:      White Paper - Impact on DDE Services
> 
> I have a question regarding the 'Impact on DDE Services' White Paper -
> 8.15 No Incentives for Using DDE. 
> 
> Is it considered an 'incentive' if more information is returned via a Web
> Site transaction than from an EDI Transaction? 
> 
> For example, if a provider inquires about a Member's Eligibility via our
> Web Site, our Web Site has the ability to return more information
> regarding the eligibility of the member than our EDI process which is
> controlled by a vendor system.   Is this considered 'incentive' for the
> provider to use our Web Site rather than submitting the 270 via EDI?  
> 
> Any input regarding this issue is appreciated. 
> 
> Thanks!  
> 
> 
> 
> Karen L. LaJaunie
> Senior Project Consultant
> Blue Cross Blue Shield of Kansas City
> Phone:  (816) 395-2635
> Fax:  (816) 395-2605
> 
> 
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