In the DDE whitepaper, look at attachment Q3. These are questions that were posed to HHS and HHS's responses. The response is:
"The health plan must, at a minimum, provide an EDI-based solution that meets the requirements of the standards adopted by the regulation. For the current standards, this means an EDI based solution that meets the requirements of the implementation guides. Any number of additional technologies for data submission (direct data entry, Internet-based or not) may be adopted at the discretion of the plan, but there is no requirement that a plan offer any additional options beyond the minimum required EDI solution".
Kris Owens
Senior Project Manager - HIPAA Project
Presbyterian Healthcare Services
505/923-8108
[EMAIL PROTECTED]
HIPAA means a higher level of healthcare.
-----Original Message-----
From: Neumeister, Tammy [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, October 09, 2001 7:40 AM
To: [EMAIL PROTECTED]
Subject: RE: White Paper - Impact on DDE Services
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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