Kepa & Peter, Is there text from the Rule that can substantiate one way or the other?
Jon CONFIDENTIALITY NOTICE. This e-mail and attachments, if any, may contain confidential information which is privileged and protected from disclosure by Federal and State confidentiality laws, rules or regulations. This e-mail and attachments, if any, are intended for the designated addressee only . If you are not the designated addressee, you are hereby notified that any disclosure, copying, or distribution of this e-mail and its attachments, if any, may be unlawful and may subject you to legal consequences. If you have received this e-mail and attachments in error, please contact Independent Health immediately at (716) 631-3001 and delete the e-mail and its attachments from your computer. Thank you for your attention. >>> [EMAIL PROTECTED] 01/12/02 01:57PM >>> Peter, Let me add a little... (in parenthesis) > The general rule means that if you accept any claims (even paper claims or DDE) from >nonparticipating, > you have to accept standard electronic claims. Kepa [EMAIL PROTECTED] wrote: > > Dear Jonathan: > > The general rule means that if you accept any claims from nonparticipating, > you have to accept standard electronic claims. > > If you do not accept any claims whatever from nonparticipating providers, it > is my understanding that you would not have to accept standard electronic > claims. > > Peter > > Peter Barry > Peter T Barry Company > Ozaukee Bank Building > 1425 West Mequon Road > Mequon Wisconsin 53092 > (414) 732 5000 (national cell) > [EMAIL PROTECTED] > ----------------------- > In a message dated 1/11/2002 8:37:58 AM Central Standard Time, > [EMAIL PROTECTED] writes: > > > Subj: Non-par providers > > Date: 1/11/2002 8:37:58 AM Central Standard Time > > From: [EMAIL PROTECTED] (Jonathan Fox) > > Reply-to: <A HREF="mailto:[EMAIL PROTECTED]";>[EMAIL PROTECTED] > </A> > > To: [EMAIL PROTECTED] > > > > Clarification/verification needed. > > > > Based on the following excerpt from the Final Rule: > > > ----------------------------------------------------------------------------- > > - > > �162.925 Additional requirements for health plans. > > (a) General rules. > > > > (1) If an entity requests a health plan to conduct a transaction as a > > standard transaction, the health plan must do so > > > > > ----------------------------------------------------------------------------- > > > > > > We had a question about non-participating providers. We currently do not > > accept electronic claims from non-par providers, and it looks like that > will > > have to change by the compliance date. Does this present any problems for > > other payors out there? > > > > Thanks. > > > > Jon Fox > > eCommerce Analyst > > Independent Health > > ********************************************************************** > 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.
