Hi Karen!
A number of payers have expressed an interest in using the mandated 278 Request Response guide for notifications. Currently, there are three implementations of the 278. They are as follows: 278 Health Care Services Review - Request and Response - this is the HIPAA guide 278 Health Care Services Review - Inquiry and Response (4010X059) 278 Health Care Services Review - Notifications (4010X111) - this is a draft. Payers that are currently using the 278 Request Response, are using some codes in addition to the codes in the HIPAA guide to indicate that this is a notification. X12N-TG2-WG10 determined that it would be best to propose a recommended workaround for basing a notification and an associated acknowledgement response on the current 278 Request Response HIPAA guide. The intent was to ensure that, for providers dealing with multiple payers, the format and coding of these notifications would be consistent across payers. Participants in the workgroup are also in the process of evaluating the usefulness of the 4010 Notification guide currently on the WPC website. The workgroup is determining, for 4050, if we want to modify the business uses in the guides as follows: Notifications of the following type should be incorporated as a business use in the 278 Request and Response implementation guide. Notifications that represent a single patient event sent by a provider to a payer/UMO where the UMO wishes to acknowledge receipt of the notification and possibly assign a receipt number. Notifications of the following type should be kept in the 278 Notification guide. One to many notifications sent as information copies between a TPA and Payer or other parties. This implies that the 278 Notification guide could change to support the submission of multiple patient events within a transaction. We are currently drafting a new version of this workaround for the 278 HIPAA guide and will post it to the X12N-TG2-WG10 listserv for discussion. If you are interesting in subscribing to the WG10 listserv, please send me an email or submit your request to subscribe through the X12 website. "Ausum, Karen" <[EMAIL PROTECTED]> on 03/18/2002 03:50:13 PM To: "'[EMAIL PROTECTED]'" <[EMAIL PROTECTED]> cc: Subject: 278 Transaction(s) Questions Are there any insurers that do 'notifications' and not certifications, and, if so, are you planning on using the mandated 278 and how are you planning to use it? In addition, is there anyone planning on using the unmandated 278 - Notification transaction? Thanks very much, Karen Ausum BCBSFL HIPAA-AS Project Team DC6-6 (904)905-6403 [EMAIL PROTECTED] Blue Cross Blue Shield of Florida, Inc., and its subsidiary and affiliate companies are not responsible for errors or omissions in this e-mail message. Any personal comments made in this e-mail do not reflect the views of Blue Cross Blue Shield of Florida, Inc. ********************************************************************** To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business and enter your email address. ------------------------------------------------------------------------------- This message and any included attachments are from Siemens Medical Solutions Health Services Corporation and are intended only for the addressee(s). The information contained herein may include trade secrets or privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may be unlawful. If you received this message in error, or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by e-mail with a copy to [EMAIL PROTECTED] Thank you ********************************************************************** To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business and enter your email address.
