RE: Muddying the Waters: Mergers and Acquisitions

2002-04-29 Thread Fody, Kenneth W.
With regard to the merger of two companies, actually Anthem and Trigon have way more than just two NAIC numbers. I'm sure that each has numerous licensed affiliates and subsidiaries -- particularly Anthem. Each of these licensed entities has an NAIC number. As for which NAIC number remains, p

Muddying the Waters: Mergers and Acquisitions

2002-04-29 Thread William J. Kammerer
I still don't know how BC/BS entities identify themselves if they don't all have NAIC Company codes. Can someone let me know? But outfits are always merging and acquiring - and our registry and Electronic Partner Profiles (CPP) can easily accommodate these eventualities. There's really no need

RE: Fourth National HIPAA Summit: session on Identifiers, EDIAddressing and Routing

2002-04-29 Thread David Frenkel
Not to muddy the waters any more but Trigon BC/BS and Anthem BC/BS announced today they are merging. It will be interesting to see if they completely merge (one payer ID) or are maintained as 2 separate entities (unlikely). There might be issues like payer ID and or Plan ID cutover dates. It wi

Re: Fourth National HIPAA Summit: session on Identifiers, EDIAddressing and Routing

2002-04-29 Thread William J. Kammerer
Ronald: If we had any "discussion about how information is processed prior to the lookup," it was solely in the context of the provider obtaining the ID of the plan or payer (somehow - perhaps from the insurance card), or the payer using the usually present Tax ID of the provider. We have to mak

Re: Fourth National HIPAA Summit: session on Identifiers, EDI Addressing and Routing

2002-04-29 Thread Christopher J. Feahr, OD
Ron, There is no doubt that the patient is "the weakest link" in this discovery process. In vision care, when the patient is unsure of the payor/plan, we routinely query one or two of the largest payors with both the patient's and the presumed subscriber's SSN numbers... just because it's easy

Re: Fourth National HIPAA Summit: session on Identifiers, EDIAddressing and Routing

2002-04-29 Thread Ronald Bowron
William, If you recall, there was discussion about how information is processed prior to the lookup. To solve the routing issues, must we first understand the process that occurs before routing can begin? Should we identify and validate our assumptions about the pre-routing process? It seems

Re: Fourth National HIPAA Summit: session on Identifiers, EDI Addressing and Routing

2002-04-29 Thread William J. Kammerer
Peter Barry and I presented a session on Identifiers, EDI Addressing and Routing at the Fourth National HIPAA Summit at the Renaissance Marriott in Washington, DC. last Friday. See http://www.hipaasummit.com/ for more information about the HIPAA Summit. The presentation slides themselves are ava