Thanks all....I do think your approach Steve - and that of Jonathan - is/are the most reasonable given current circumstances. Though it is true that it does raise more questions.
-----Original Message----- From: Hanson, Steve [mailto:[EMAIL PROTECTED]] Sent: Thursday, October 25, 2001 1:24 PM To: '[EMAIL PROTECTED]' Subject: RE: Issue from a recent conference We assume that this is a matter that individual providers must work out with payers, and are modifying our provider demographic data to include controls for this. We also assume that this control applies regardless of whether or not we receive an 837; that is, we must issue an 835 to a provider who has previously requested this method of payment for both 837 and paper claim submissions. Unfortunately, I can't tell you what parts of the regs we were looking at when we reached this conclusion. Steve Hanson Senior Product Technical Consultant, The TriZetto Group, Inc. "Pluralitas non est ponenda sine necessitate" - Ockham's Razor (14th century) for which my favorite corollary is: The simplest solution that is both necessary and sufficient is best. > -----Original Message----- > From: Hauser, Tarry [SMTP:[EMAIL PROTECTED]] > Sent: Thursday, October 25, 2001 8:30 AM > To: '[EMAIL PROTECTED]' > Subject: Issue from a recent conference > > > > "There did not seem to be a definite answer on how we know that we should > send an 835 transaction back when we receive an 837. At one point there > was to be a routing # if the Provider wanted the 835 back. However, there > is nothing in the data field such as a routing # to know." > > This question cam back to me after one of our own attended an SPBA > conference. Do we have an answer for this anywhere in the regs? > > Tarry L. Hauser > Applications Specialist > Medical Associates Health Plans > 700 Locust Street Ste 230 > PO Box 5002 > Dubuque, IA 52004-5002 > (319)584-4830 > FAX (319)556-5134 > > > > > ********************************************************************** > To be removed from this list, send a message to: > [EMAIL PROTECTED] > Please note that it may take up to 72 hours to process your request. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
