With regard to restrictions on ClarEDI, I can't speak for other carriers,
but can share information about why we have restricted access to our data.
Shyness really doesn't have anything to do with it.  Rather its just being
practical.  

We are using ClarEDI during our system testing process.  Before we send a
file through system testing, we are sending that file to ClarEDI for
certification.  

Why would we do that?  The answer is that by certifying a 270 file, for
example, as compliant, if the transaction bombs out in the test, we have a
reasonable belief that the problem is not in the file but in the system.

It is not appropriate to show where we are based on those "tests" for two
reasons.  First, it would be wrong to give the impression that we are at the
certification testing phase when we are just using the tool for system
testing purposes.  Second, the information might suggest we are planning to
capable of sending files we don't intend to send.  

For example, we may create an 820 Premium Payment transaction for system
testing purposes, but we have no intention of sending outbound 820's in the
real world, post-HIPAA.  But if you were able to see the data regarding our
Plan, you'd get the impression that we were testing outbound 820s.

Also, given the fact that many of our tests are for the System testing
stage, we don't have the staff resources to handle calls from folks asking
how soon we will be certified so they can do business with us, or whatever
other questions that may come up.

-----Original Message-----
From: William J. Kammerer [mailto:[EMAIL PROTECTED]]
Sent: Thursday, May 23, 2002 5:29 PM
To: WEDi/SNIP ID & Routing
Subject: Why it's not the End of the World if providers and payers don't
share information in a public registry... 


Yes, I was disappointed at the reticence of most of Claredi's directory
participants to share their information.  Most of it's locked down and
available only to other members of their trading "group."  Obviously,
the main purpose of the Claredi directory is to share information on
certification progress:  perhaps folks are humbled that they are not
further along in achieving compliance, and don't want the rest of the
world to know!  I guess that's only natural.

In any case, as Chris notes, the same "shyness" will affect our
Healthcare CPP Registry.  If people are not too keen on even publicizing
their address and phone number, they probably won't give away to just
anyone as to how to send transactions their way.  Even though I'm
absolutely confident we can come up with technological solutions to
expose information only to others in certain categories, that still will
not get people over their agoraphobia.  This is a social engineering
problem that mere technology will not solve.

On the positive side, clearinghouses are always anxious to advertise the
payers they support - I suppose that's a selling point to providers.  So
at least CHs will probably be happy to prime the pump with payer CPPs -
which will naturally point to portals at those very same clearinghouses!

Keep in mind that the CPP (electronic partner profile) is really not
dependent on a global, public federated registry.  These are just
standardized XML documents with machine readable information that
describe the partner's capabilities: certification, financial
institution data and EDI addresses, inter alia.  The CPP doesn't have to
reside in a public directory.  A payer could continue to do business the
old way, where a provider has to fill out all sorts of paperwork, sign
TPAs, endure hideous EDI enrollment delays and whatnot.  And at the end
of all this, he'd be e-mailed - what else? - a nice CPP!

William J. Kammerer
Novannet, LLC.
Columbus, US-OH 43221-3859
+1 (614) 487-0320

----- Original Message -----
From: "Christopher J. Feahr, OD" <[EMAIL PROTECTED]>
To: "William J. Kammerer" <[EMAIL PROTECTED]>; "WEDi/SNIP ID &
Routing" <[EMAIL PROTECTED]>
Sent: Tuesday, 21 May, 2002 10:23 PM
Subject: Re: Electronic Funds Transfer and Security


William,

Thanks very much for this information about the banking world... as
unsettling as it is. It may turn out that other CPP information about
payors and providers will have to be semi-restricted as well. I noticed,
for example, that some Claredi customers have chosen to restrict public
access to some of their directory fields, even though the information
looks pretty harmless to me. Of course, the whole point of our CPP
record is to make it widely available... but to one's potential
partners... not necessarily to one's "competition"... and maybe not very
much of it in one query, no matter who you are.

I would expect payments in most low-volume or CPP-initiated trading
relationships to continue to be paper checks for the next few years...
mailed to the address in the CPP record. In the hi-volume relationships,
it will probably be necessary to send a voided paper check, sign a few
forms, etc. in order to set up a direct-deposit, electronic payment
arrangement anyway. So all we may need in the CPP record now is a place
to indicate preferences/abilities with respect to electronic payments.

-Chris

Christopher J. Feahr, OD
http://visiondatastandard.org
[EMAIL PROTECTED]
Cell/Pager: 707-529-2268



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