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
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>
>         -----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]
>
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