Donna--we are following the same logic. We receive paper claims into our mail room--we then send them to a business associate who OCR and scans them and returns in our proprietary format via secure transmission. I am hanging my hat on the fact that paper came in originally. Pat.
"Hayward, Donna M B230" wrote: > 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 Confidential, unpublished property of CIGNA 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. ********************************************************************** 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.
