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If you need immediate assistance, please contact Steven McGregor at (206) 901-7437, 
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>>> "[EMAIL PROTECTED]" 10/16/01 13:39 >>>

As a provider of LTC, we fall under the "covered entity" description in the HIPAA 
regs.  Obviously we have to be compliant with the Transactions Standards for 837's and 
835's, but I am uncertain about the below two scenerios that deal with employee comp 
claims and benefits plans.

1. Some of our centers have TPA's that handle our workmens' comp claims.  Are we 
required to have something in our contract with them that references HIPAA compliant 
verbiage. ( This more than likely deals more with the privacy regulation).  

2.  We are self-insured but contract with a TPA to administer our employee benefits 
program.  Does our contract with them need to reference HIPAA verbiage?  When we 
transmit info to and from our TPA that contain this benefit info do we need to 
transmit it the appropriate ANSI X12 format or do the Transaction Standards not apply 
in this situation?

Any assistance you can provide would be helpful.

Cindy M. Nielsen
Department Director, Information Security
Good Samaritan Central Office
Phone: 605-362-3252
Fax: 605-362-3991
email [EMAIL PROTECTED]





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