Wow.. i'm out of touch for a couple of days and what a string of information
to digest when i get back...

I add my thanks to Kepa as well - and i'm old enough to have experienced the
beginnings of DNS.  I think the main reason that it was rapidly accepted and
flourished is that nobody really wanted to continue to carry the burden of
being a heavy-hitter email switch - there's no money in it (and we are very
thankful to those that did step up to the plate early on).

William is correct in his assumption that CHs will not be willing to share
addresses with competitors, and they certainly won't share them with their
clients (like us), since we are interested in submitting directly to those
payers of our larger volumes of claims.  I've already been down that
street...

I really do like the DNS concept, however, and while it may not be a
short-term solution implementable this year, it has an excellent potential.
I don't believe the security concerns pose an insurmountable barrier, and I
believe that there can be some protection built in if our provider numbers
(which are publicly available) can be used in some way by payers to validate
our transmissions (perhaps as part of a PKI identity check?).  Anyway,
without trying to solve the problems, i'd like to weigh-in in favor of
pursuit of the DNS concept -- even if it has to be a "phase 2".

One other thought on which identifier is in the ISA - I believe it was
Rachel who was favoring having the endpoints identified there rather than
the single-hop communicating parties.  This makes sense to me, and is
certainly similar to how we handle it in the HL7 world on the MSH.  The
concern i have, however, is that it precludes a receiver from being able to
check to see if they were actually the intended party to receive the
message.  I could accidentally send a package meant for payer A to CH B that
also submits to payer A.  CH B would have no way to detect that this is a
mistake, and would proceed to process the payload.  Worse, I could send a
package meant for CH B to CH C, who has some, but not all of the payers in
their stable as well, and end up with a mess that would take weeks to
unravel...

Dave Minch
T&CS Project Manager
John Muir / Mt. Diablo Health System
Walnut Creek, CA
(925) 941-2240


-----Original Message-----
From: William J. Kammerer [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, January 30, 2002 5:33 PM
To: WEDi/SNIP ID & Routing
Subject: Re: some history on email addresses and thoughts for a proposal


Thanks to Kepa Zubeldia and Dick Brooks for their enlightening
historical perspectives on the evolution of DNS.  I'm thankful the
graybeards of our industry are around to share with us memories of the
old days, for surely otherwise, hubristic and callow youths like myself
would make the mistake of thinking history began with them.

I do see another problem with the DNS proposal, besides the security
concern posed by Dick and the time constraints raised by Rachel
Foerster:  would you share your customer list?  If not, you can see why
VANs and Clearinghouses might be loathe to make their complete customer
list available on distributed DNS servers or an LDAP directory.

I thought I was pushing it when I proposed auto-interconnection back on
20 January, whereby one VAN or CH could ask another whether an entity
identified by a certain identifier was accessible via their system.  I
could see VANs or CHs fighting that small reform, unless otherwise
compelled by HIPAA law to share that information.  Never have I imagined
that a switch would expose the contents of their entire directory (or
customer base) - their "family jewels," if you will - in an open
directory!

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

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