Can anyone tell me if they think that this issue is industry wide, now that organizations can apply for a delay? Will the payors accommodate the needs of the providers (even though it is the providers responsibility). I am working with some providers and we trying to determine when will be the best time to flip the (transaction) switch.
Scott ----- Original Message ----- From: Christopher J. Feahr, OD <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Sunday, January 13, 2002 10:12 AM Subject: Re: Transaction Delay Question > Until the deadline (any payor's deadline), that particular payor can > legally refuse to conduct a TX as standard even if the provider requests > that it do so. It certainly doesn't HAVE to refuse, but it can. So the > provider's options are exactly the same as they are today... figure out how > to create the format that the payor WILL accept directly or go through a > clearinghouse. The costs for both options would have to be borne by the > provider... right up until the Payor's compliance deadline. After that, if > that payor is still not ready and still requires a CH to translate std. to > proprietary, then the PAYOR will have to pay for the provider's translation > service. > > (keeping track of this looks like a major pain for the CH) > -Chris > > At 08:22 PM 1/9/02 -0500, Paul Costello wrote: > > > >What are the business implications of the following scenario that occurs > >on October 17, 2002: > > > >I am a health plan and I already filed for the extension (I only have the > >capability to accept non-standard formats). > > > >One of my trading partners (Provider ABC) purchased a whole new health > >information system that is 100% HIPAA compliant and only has the ability > >to conduct electronic transactions in the HIPAA standard format. > > > >Since I (as the health plan that filed for the extension) can not accept > >standard transactions yet, and my trading partner (who just purchased a > >HIPAA-compliant HIS) can only send standard transactions, what happens? > > > >Am I, as the health plan who can not accept standard transactions, > >responsible for routing those transactions through a clearinghouse, or is > >it the responsibility of the provider? What other solutions exist? > > > >It seems like this situation, and many variations like it, will become > >problematic after October 16, 2002. > > > >Any thoughts are appreciated. > > > >Thanks, > >Paul > > > >********************************************************************** > >To be removed from this list, go to: > >http://snip.wedi.org/unsubscribe.cfm?listsiness > >and enter your email address. > > Christopher J. Feahr, OD > http://visiondatastandard.org > [EMAIL PROTECTED] > Cell/Pager: 707-529-2268 > > > ********************************************************************** > To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business > and enter your email address. > > ********************************************************************** To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business and enter your email address.
