|
Code 40 in NM108 specifies
receiver
Code 41 in NM108 specifies
submitter
Since these two terms can be somewhat ambiguous and
interpretable I very early on in this work group's efforts recommended that a
glossary be developed which provided specific unambiguous definitions to terms.
For example, I could argue that the submitter is the
"actual" submitter of the claim transaction, which would be the provider. Others
argue that the submitter is the entity that puts the claim data into the
standard format - a clearinghouse. I would argue that the clearinghouse then is
a business associate of the submitter.
I could also argue that the receiver is the end-point
payer. Others could argue that the receiver could be the payer's
clearinghouse.
We've gone round and round on this topic with no real
resolution in my mind. And Martin's question certainly confirms my belief that
these terms are not universally and unambiguously understood throughout the
industry.
So....pick a number, put a blindfold on and toss the
dart!
Rachel
|
- RE: Trading Partner ID Rachel Foerster
- RE: Trading Partner ID robert . poiesz
- Re: Trading Partner ID Gale Carter
- RE: Trading Partner ID Rachel Foerster
- RE: Trading Partner ID Martin Scholl
- Re: Trading Partner ID William J. Kammerer
- Re: Trading Partner ID Gale Carter
- Re: Trading Partner ID Michael Mattias/Tal Systems
- Re: Trading Partner ID Martin Scholl
- Re: Trading Partner ID William J. Kammerer
- RE: Trading Partner ID Rachel Foerster
- RE: Trading Partner ID robert . poiesz
- RE: Trading Partner ID Bill Chessman
- Re: Trading Partner ID William J. Kammerer
- Re: Trading Partner ID Martin Scholl
- Re: Trading Partner ID Kepa Zubeldia
- RE: Trading Partner ID Bill Chessman
- Re: Trading Partner ID - 'ZZ' rears its h... William J. Kammerer
- Re: Trading Partner ID - 'ZZ' rears i... Martin Scholl
