Tammy, These *are* good questions and reasonable things to think about implementing, but you really should read Peter Barry's excellent white paper on the subject of "the DDE exception" to the HIPAA transaction and code-set rules. Unfortunately (at the moment, anyway) there is very little allowance for departure from the strict interpretation of the transaction standard for claims and elig. Format can be altered in certain situations, but generally "content and condition" must be respected in the DDE service implementation. (Is the latest version of this paper on the WEDI-SNIP site now?) -Chris
At 08:40 AM 10/9/01 -0500, you wrote: >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 > > > > > > ********************************************************************** > > To be removed from this list, send a message to: [EMAIL PROTECTED] > > Please note that it may take up to 72 hours to process your request. > >********************************************************************** >To be removed from this list, send a message to: [EMAIL PROTECTED] >Please note that it may take up to 72 hours to process your request. Christopher J. Feahr, OD http://visiondatastandard.org [EMAIL PROTECTED] Cell/Pager: 707-529-2268 ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
