Jim, I think we should be cautious here, with your statement. Many providers will want to be paid with electronic funds transfers ( after all Congress did require designation of a Claim Payment Standard in HIPAA) and that will involve the banking system.
Our interpretation of the Final Rule indicates it does not require adding functionality that does not currently exist. Therefore if a Payer in this example, does not currently have functionality to offer electronic funds transfer, or clearinghouse transfer as payment options ... they are not required by HIPAA to make that enhancement. By way of explanation about the 820 and 835 specifically, page 50333 of the Rule says: The implementation specifications for the ASC X12N 835 and 820 transactions contain two parts, - a mechanism for the transfer of dollars and - one for the transfer of information about the payment, and allow these two parts to be transmitted separately. Consistent with the implementation specifications, actual payment may be sent in a number of different, equally acceptable ways, including check and several varieties of electronic funds transfer. So our belief is that we need to support the options of sending and receiving data electronically. We are not required to add functionality / logic to support the processes required to offer transferring funds electronically, since the system does not support it today. Marsha Verizon Information Technologies, Inc. Managed Care Division Phoenix, AZ Phone - 602.678.6042 Fax - 602.678.6331 E-mail - [EMAIL PROTECTED] Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. ---------- Original Text ---------- From: <[EMAIL PROTECTED]>, on 10/6/01 12:22 PM: To: smtp[<[EMAIL PROTECTED]>] Your question may bring up more options than you might have expected. Providers may contact you through clearinghouse/remittance processing vendors, through their banks, or directly, and ask for a variety of claim payment options. A provider opting to receive the electronic remittance information through a network of clearinghouses and vendors will have them contact you indicating that those vendors are ready to accept/test on behalf of that provider. Many providers will want to be paid with electronic funds transfers ( after all Congress did require designation of a Claim Payment Standard in HIPAA) and that will involve the banking system. There are several execution options including sending the 835 remittance data with the electronic funds transfer through the banking system or sending the money and data separately. All of these can be accomodated by the HIPAA-compliant 835. By the way, set up of electronic payment options should not be done based on incoming information on an 837. Jim Moynihan McLure-Moynihan, Inc. Agoura Hills, CA 91301 818-706-3882 [EMAIL PROTECTED] ********************************************************************** 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.
