The WEDi/SNIP ID & Routing group, a Special Interest Group under the
Business Issues Group, is developing recommendations for the
"auto-discovery" of trading partners (payers, providers, third-party
administrators, etc.) and their technical capabilities.  Borrowing from
ebXML, we plan to devise an XML schema for an electronic WEDi/SNIP
Healthcare Collaboration-Protocol Profile (CPP).  CPPs will be located
by Trading Partner ID of any participant involved in HIPAA Health Care
EDI - either through a DNS-based "directory" of our own design, or
possibly UDDI or the OASIS ebXML Registry.

This project will publish implementation guidelines for (1) the CPP to
mechanically configure communication and translation software, and (2)
automatic "discovery" mechanisms for locating trading partners' CPPs on
the Internet based on their business identifiers.

These recommendations and specifications may someday make it easier for
your automated software - or *your* clearinghouse - to "discover" that
payer X is reached via a particular Clearinghouse B, or at a particular
FTP or SMTP e-mail address. One scenario, relevant to Peter Barry's
other work involving the National Plan ID, is how the provider will use
the number on the patient's insurance card to "discover" the EDI address
of the payer to whom claims and eligibility requests should be sent.
The insurance card will contain the card issuer number which includes
the (National) plan ID;  using our recommendations, this Plan ID would
be the key to searching for the EDI address(es) of the ultimate payer.

The group is currently working on four "working" papers to answer
questions relevant to IDs and Routing:

(1) Identifiers.  How do you identify the sender and receiver of a
standard transaction on the ISA? How can the ISA be addressed in a
consistent way so interchanges can be delivered via intermediaries like
VANs or CHs, or point-to-point? Who are the trading partner entities
involved in exchanging standard transactions? What kind of identifiers
are available for describing these entities? What's the relationship
between the payer, plan and contract application identifiers and the
identifiers used in the ISA?

(2) Addresses and delivery channels. How do we specify the destination
technical address and its attributes? Now do you specify type of
security - e.g., login and password? How would you accommodate
scripting? How do you describe the multi-hop path traversed between
trading partners through intermediaries and business associates? How do
you describe the different "in-boxes" used depending on transaction
type? What do you have to know about a trading partner's technical
capabilities before you can send them a standard transaction? What
information does a Trading Partner Agreement contain to answer any of
these questions? What sort of communication protocols are in use today
that need to be supported? and what sort of packaging techniques are
used?

(3) Elements of the WEDi/SNIP Collaboration-Protocol Profile (CPP): Can
a Trading Partner Agreement be made into a machine-processable form? Can
we use the ebXML CPP? If not as it stands, then what changes would be
needed to the CPP? How would EDI Addresses and Delivery Channels be
represented in the CPP? Can a CPP completely supplant the need for paper
TPAs?

(4) "Discovery" of WEDi/SNIP CPPs:  How might electronic CPPs be
automatically "discovered" for your trading partners?  If we need a
directory for "discovery" of Trading Partners, will UDDI or the ebXML
RegRep suffice? If not, can we devise our own?  Who would maintain it?

Ancillary to our technical recommendations, we're also working on the
problem getting rid of paper TPAs:  if the TPA "problem" cannot be
gotten out of the way, then automated trading partner "discovery" has
less value.  Payers' requirements for paper TPAs are a real impediment
to enrollment of providers for EDI at the moment.

The recommendations coming out of the ID & Routing group don't have to
wait till you have "smart" auto-reconfigurable software that can use the
XML CPP.  We may develop XSLT style-sheets for displaying CPPs that have
been "discovered" via a directory which can render them in a human
readable fashion on a web browser.  All the standard trading partner
setup information you'll need - including communications protocols,
URLs, EDI contact addresses, "companion" document information (e.g.,
explanation of situational elements), supported transactions, security
and acknowledgement requirements, etc. - will be available simply by
providing an identifier (like a NAIC or DUNS) of your trading partner.
So even if you have to copy and paste information from your web browser
into your existing communication and translation software, it will sure
beat paper documentation!  And it will be in a consistent format,
regardless of trading partner.

Please join the discussion by sending e-mail to [EMAIL PROTECTED]
containing the word "join" (sans the quotes) in the body.  Postings are
sent to the mailing list at [EMAIL PROTECTED]  We desperately need
volunteers who can contribute requirements and perspectives from all
stakeholders: payers, providers, clearinghouses, and third party
administrators and other intermediaries.   Project documents and
archives of the [EMAIL PROTECTED] mailing list are available at the
WEDi/SNIP ID & Routing Group Web page at http://www.novannet.com/wedi/.

William J. Kammerer
Novannet, LLC.
+1 (614) 487-0320




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