When I read "refunds" I thought of refunds to health plans for provider
payment adjustments or provider duplicate payments, and COB recoveries
between health plans.

Are these matters covered elsewhere or not at all?

Thanks for any response.

Si

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]
Sent: Thursday, October 11, 2001 2:24 PM
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Re: Refunds


Thanks Julie for the response.  I had in mind provider refunds.. should
have
been more clear.  I had up till now not thought about the refund process
nor .
 If refunds to providers are not considered in the 835, it appears that
it
would leave a hole in the electronic process.  I was trying to asses
whether
others agreed with that opinion or not.



Thanks!

Jonathan Showalter
Omaha NE  USA
402-343-3381
[EMAIL PROTECTED]
------------------( Forwarded letter 1 follows )---------------------
Date: Thu, 11 Oct 2001 09:50:41 -0400
To: JONATHAN.SHOWALTER, [EMAIL PROTECTED], [EMAIL PROTECTED]
From: Julie.Thompson[julie_a_thompson]@hotmail.com
Subject: Re: Refunds

Good questions, Jonathan!
Since no one has answered, I thought I would give it a shot.

I will assume you are referring to "Patient Refunds".

Under New York and New Jersey state legislation, there is a requirement
to
notify both patient and provider regarding all payments.

It is safe to say, this would include notification to all parties for
payment adjustment and corrections.

Other states may not have this requirement.

HIPAA requires payment notification to the provider, even when the
payment
to the provider is 0.00 (captitated services), or when any adjustments
or
corrections are made.

Also, there is a summary amount for patient payments. The description on
page 250 of the 835 Guide Data dictionary for Total Patient
Reimbursement
Amount, Loop 2000, Segement TS322 describes the element as the total of
all
patient refund amounts. The element that would be sued to accumulate
this
amount should be Loop 2100, AMT02.

Technically, this should work properly. The guide could use some greater
clarity on this process.

Julie A. Thompson


the remittance itself



From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED], [EMAIL PROTECTED]
Subject: Refunds
Date: Tue, 9 Oct 2001 10:20:00 -0500

I posted this question last week but did not get any response.  I
thought I
would try one more time.




I wanted to ask the group if any of you are thinking about how you will
handle
refunds and whether or not refunds should produce a correction and
reversal
835.  The 835 might be sent to reflect the refund once it has been
received
by
the payor or as a device to notify the provider that a refund should be
made,
etc.... or do you think refunds fall outside of the 835 process?



Thanks!

Jonathan Showalter
Omaha NE  USA
402-343-3381
[EMAIL PROTECTED]

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