Don't try to trump Rachel on HIPAA, you will LOSE every time!  

To borrow a phrase from the vernacular,  "you go girl!"

Sent via DroidX2 on Verizon Wireless™

-----Original message-----
From: Rachel Foerster & Associates <[email protected]>
To: 'Michael Mattias/LS' <[email protected]>, 'EDI-L' 
<[email protected]>
Sent: Mon, Oct 17, 2011 21:38:56 GMT+00:00
Subject: RE: [EDI-L] Regarding Upgradation of Version from 4010 to 5010

And you most certainly haven't looked at 270/271 eligibility or 278/278 auth
either - there are substantial differences, especially for the 271 for what
must be returned in the 271 by the health plan.

 

Rachel Foerster

847-872-8070

 

From: [email protected] [mailto:[email protected]] On Behalf Of
Michael Mattias/LS
Sent: Monday, October 17, 2011 3:38 PM
To: EDI-L
Subject: Re: [EDI-L] Regarding Upgradation of Version from 4010 to 5010

 

  

> If the conversion is for the health care HIPAA transition to v5010, I
> recommend that you go through a very detailed and intensive analysis of 
> the
> requirements as specified in the v5010 TR3 and how these requirements have
> changed from v4010. There are minefields.

FWIW..

I recently did just this for the '835 Remittance' and the only new data 
provided are some 'fluff' items such as "payer technical contact name and 
number" and the like.

I found exactly one (1) change of signficance requiring me to RE-map 
anything...and I can't even remember it so it could not have been all THAT 
important.

I have NOT looked at any (professional, dental, facility) claim/encounter 
specifications.

Michael C. Mattias
Tal Systems Inc.
Racine WI
[email protected] <mailto:mmattias%40talsystems.com> 





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