As expected, my introductory e-mail to the OASIS ebXML Registry TC has
elicited responses from no fewer than three ebXML Registry software
vendors - all these guys are tripping over each other to be the first in
line to help us out. I think name-dropping WEDI/SNIP really opens doors.
Everybody wants to get in on the "Next Big Thing" - HIPAA: the best
thing that ever happened to EDI.

Of course, the Joint WEDI/SNIP and AFEHCT ID & Routing group will be
happy to work with any vendor on our pilot study for the registry.  Say
what?!! We haven't mentioned anything heretofore about pilot studies -
it just popped into mind: every standards group needs to have
self-perpetuating activities planned for the future!!

As I said in my e-mail to the OASIS ebXML Registry TC, pretty much all
we want to do is store "pointers" to participants' CPPs (which reside as
XML files in their own servers), retrievable by one or more entity IDs.
For example, a Big Payer may well choose to be identified by their NAIC
company code. Providers, on the other hand, like hospitals, may prefer
to name themselves by any of a HIN, a D-U-N-S or a Federal Tax ID.
Likewise, a small practice may be identified solely by Tax ID, at least
until the National Provider ID is available.

Even if a small provider doesn't do standard HIPAA X12 transactions
himself (but rather uses a Clearinghouse or Billing service), he would
still have an entry in the Registry with a vestigial CPP (probably
resident in the ebXML Registry itself) which points to his respective
agent (e.g., via the ID of the clearinghouse or billing agent).

When the National Plan ID does comes into play, we would have multiple
levels of indirection in the retrieval:  the plan ID would be used to
retrieve a pointer to the payer or Third Party Administrator (TPA),
which in turn would be used to access that entity's CPP for technical
trading partner information.  Implementing search by Plan ID might be
more efficacious with the ebXML Registry rather than with Kepa's DNS
directory.

This should be a very simple use of the ebXML registry, and it allows us
to get some experience in the best ways to identify partners.  We need
to get away from proprietary payer-assigned provider IDs in the context
of standard transactions, so as to level the playing field between
payers, providers and clearinghouses.  The registry will also be a
test-bed for experimenting with various means of authenticating partners
(using X.509 certificates).

It might be too much to expect Dick Brooks to do the liaisoning with
both the OASIS ebXML Messaging and the Registry Technical Committees.
Does anyone here want to volunteer to develop Registry use cases
involving the discovery of WEDI/SNIP CPPs?  It would be much more
appropriate for a "real" health care person to take on this role:
someone from either the payer, provider, or clearinghouse sectors needs
to step up to the bar on this effort if it is to provide anything that
will be acceptable to the user base and solve real problems.

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


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