> You mention Benefit Enrollment and Maintenance Stuff, which is probably
> the 834, but you don't indicate what business process. You also don't
> indicate what the 835 is being used for.

> 1. There are business processes supported by the 834 and 835 that are
> not necessarily the business processes mandated under HIPAA.
> Consequently, whatever your client is doing may not have to be HIPAA
> transaction and code set compliant, but I doubt that.

Just to clarify this point...

Under the 1996 HIPAA's implementing regulations (45 CFR Parts 160, 162 
August 2000).. the 'user' does not specify the business process, the 
regulations do. If the business transaction meets the tests spelled out in 
the regulations, it becomes a 'covered transaction' and any electronic 
transactions effecting those functions must use the standard transaction (or 
a "health care clearinghouse" (service bureau)).

That said, I have a tough time imagining any business transaction utilizing 
an 834 or 835 which would NOT meet the test for 'covered transaction' and 
therefore become subject to the use of the CMS-mandatated implementations.

And as long we are talking about the '835' Healthcare Payment/Remittance 
Advice document......

Tal Systems' Provider Payment Partner(tm) System at 
http:///www.providerpaymentpartner.com was one of only two completely 
'standlone' applications for the processing of the X12N X091A1 '835' 
document which were available at the time of the ORIGINAL implementation 
'deadline' (October 2001). For that matter, it may still be one of the only 
two such available applications. Five-plus years of Real World Use by 
providers from New Hampshire to California shows its stability, reliability 
and utility.  (I would have said "Maine to California" because it sounds 
better, but the truth is we have no users in Maine). (Yet).

Providers can obtain a fully-functional time-limited evaluation version of 
the PPPS simply by following the instructions at the web site; and as noted 
on the "Contact Us" page, OEM/VAR and/or service bureau inquiries are 
welcome.

Michael C. Mattias
Tal Systems Inc.
Racine WI
[EMAIL PROTECTED]



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