There really is no such thing as a 'closed' health plan.  It is somewhat
routine that members of a health plan go out of their service network
to get service for example when they travel.
Regards,
Dave Frenkel
----- Original Message -----
From: Rachel Foerster <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, January 22, 2002 10:53 AM
Subject: RE: Plan requirements


> Chris,
>
> I disagree with your conclusion about a closed group of providers
conducting
> proprietary transactions with a health plan as being "legal" under HIPAA.
> Once the providers choose to conduct any transaction specified by the
final
> rule, they become a "covered entity" and must do so in compliance with the
> specifications. Health plans must conduct the transactions in compliance
> with the specifications. If the providers and health plan choose to ignore
> this requirement, both are then in violation of the law and the rule and
are
> subject to penalty.
>
> My personal opinion is that a health plan must be able to conduct the
> standard transactions by the compliance date regardless of whether a
> provider is requesting they do so or not. In order words, the health plan
> must be able to conduct the standard transactions by the appropriate
> compliance date: 10/16/2002 if they choose not to request an extension, or
> 10/16/2003 if they opt to request an extension and file the required plan.
>
> Rachel Foerster
>
> -----Original Message-----
> From: Christopher J. Feahr, OD [mailto:[EMAIL PROTECTED]]
> Sent: Tuesday, January 22, 2002 12:44 PM
> To: McCall, Allen; '[EMAIL PROTECTED]'
> Subject: Re: Plan requirements
>
>
> Plans are required to have the ability to respond with a standard
> transaction... to a provider's request for a standard.  I have actually
> wondered myself what would happen if a relatively "closed" group of
> specialized providers WANTED to exchange only non-standard electronic
> transactions with a payor who never communicated with any other
> providers... and also wanted this proprietary exchange.  This would be a
> very unlikely scenario, but I think it would be technically legal.
> -Chris
>
> At 10:26 AM 1/22/02 -0800, McCall, Allen wrote:
>
>
> >Is a health plan required to have the capability to send/receive standard
> >transactions even if none of the providers they work with want to conduct
> >the transactions electronically?
> >
> >The Response on page 50314 indicates that they must but in the rule
> >162.925 it indicates that they must only if the providers request it.
> >
> >Allen McCall
> >Sierra Systems
> >711 Capitol Way SE, Suite 304
> >Olympia, WA  98501
> >Telephone: (360) 357-5668
> >Mobile: (425) 894-0790
> >Fax:          (360) 754-0480
> >[EMAIL PROTECTED]
> ><http://www.sierrasystems.com>http://www.sierrasystems.com
> >
> >**********************************************************************
> >To be removed from this list, go to:
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> >and enter your email address.
>
> Christopher J. Feahr, OD
> http://visiondatastandard.org
> [EMAIL PROTECTED]
> Cell/Pager: 707-529-2268
>
>
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>
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