William, I did fwd. this PlanID/SBR03 issue to the "business" co-chair for possible consideration in today's call. It did not show up yet on the listserv, so maybe the system is a bit slow. I'll try to be on the B-I call. Thanks, -Chris
>Date: Tue, 19 Feb 2002 11:21:51 -0800 >To: <[EMAIL PROTECTED]>, <[EMAIL PROTECTED]> >From: "Christopher J. Feahr, OD" <[EMAIL PROTECTED]> >Subject: Re: BI Call Tuesday 3-19 3:30 ET > >Hi Marcalee, >I have raised a couple questions within the routing group that William has >asked me to bring to the "business issues" group... possibly in today's >call: Regarding payor identification at the transaction level, it seems >that the HIPAA statutory requirements are forcing us toward a "national >Plan ID" model rather than a "payor ID". For the purpose of >addressing/routing, however, it would seem preferable to ID the "payor" >and then to utilize the situational SBR03 and 04 segments (plan number and >plan name) to identify the particular "plan" or line of business the claim >is being directed to? Burying the plan's identification with the payor's >ID (which will necessarily create "multiple identities" for all payors >with multiple lines of business) seems to be muddying the waters for us in >the context of the provider's addressing/routing problems... particularly >the "small" provider trying to send something directly to a payor. > >-Chris > > >At 10:06 PM 2/18/02 -0800, Marcallee Jackson wrote: >>We will have our regularly scheduled call: >> >> Dial In: 703-736-7290 PIN 1315330 >> >>Agenda: >> >>Issues Database (IDB) preliminary recommendations >> >>White paper updates: >> Update Routing (Peter or William) >> Restarting the Code Set Resolution SIG (Zon) >> Review suggestion for TPA paper (Marcallee) >> Contingency Planning (Lin) >> Suggestions for new papers >> >>Update on March's conference/Need volunteer panelists >> >>Please join us on the call! >> >> >>Marcallee Jackson >>Long Beach, CA >>562-438-6613 >> >>********************************************************************** >>To be removed from this list, go to: >>http://snip.wedi.org/unsubscribe.cfm?list=business >>and enter your email address. > >Christopher J. Feahr, OD >http://visiondatastandard.org >[EMAIL PROTECTED] >Cell/Pager: 707-529-2268 Christopher J. Feahr, OD http://visiondatastandard.org [EMAIL PROTECTED] Cell/Pager: 707-529-2268
