I'd be interested in other's thoughts as well as we are in the same position. To date the general consensus has been this practice is considered internal as we already 'own' the paper claim. The outside vendor may remain indefinitely in v3051 format and would not be bound by the v4010 format and/or HIPAA rules and regs.
Donna M. Hayward A CIGNA HealthCare - EDI GATEWAY HIPAA Project Manager * Bloomfield: 860.226.3134 Ntwk: 572-3134 Fax: 860.226.7573 * e-mail: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> "Passionately committed to making every experience with CIGNA HealthCare positive and highly satisfying. For everyone. Every time." The information contained in this e-mail may be confidential and is intended solely for the use of the named addressee. Access, copying or re-use of the e-mail or any information contained therein by any other person is not authorized. If you are not the intended recipient, please notify us immediately by returning the e-mail to the originator. Confidential, unpublished property of CIGNA Do not duplicate or distribute Use and distribution limited solely to authorized personnel (c) Copyright 2002 by CIGNA -----Original Message----- From: Anita Mosley [SMTP:[EMAIL PROTECTED]] Sent: Tuesday, January 15, 2002 2:24 PM To: [EMAIL PROTECTED]; [EMAIL PROTECTED] Subject: Paper Claims into a Paper-less System We currently out-source our mail handling to an outside vendor. One of the things they do for us is to key paper claims that have been mailed to us into our "translated EDI" format and send them to us for processing. In this instance we have received paper claims from the provider/subscriber and NOT EDI. Questions have come up: - Are they required to send us HIPAA compliant formats? - Are they considered to be a "clearing house" so we can continue to receive non-compliant translated data from them? - Is this data not covered at all (from a transaction code set / EDI perspective) because we have received paper claims and are using external/internal resources to convert them to an electronic format for auto- adjudication? - Other options/opinions? I think we understand how this practice is affected by the privacy and security pieces. Thank you. [EMAIL PROTECTED] **************************************************************** Please Note The information in this E-mail message is legally privileged and confidential information intended only for the use of the individual(s) named above. If you, the reader of this message, are not the intended recipient, you are hereby notified that you should not further disseminate, distribute, or forward this E-mail message. If you have received this E-mail in error, please notify the sender. Thank you ***************************************************************** ********************************************************************** 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. ------------------------------------------------------------------------------ CONFIDENTIALITY NOTICE: If you have received this e-mail in error, please immediately notify the sender by e-mail at the address shown. This e-mail transmission may contain confidential information. This information is intended only for the use of the individual(s) or entity to whom it is intended even if addressed incorrectly. Please delete it from your files if you are not the intended recipient. Thank you for your compliance. � Copyright 2002 CIGNA ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ********************************************************************** 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.
