Workers compensation claims need not meet any of the transaction standards. There is nothing "non-compliant" in this scenario.
Stanley Nachimson Office of Information Services, CMS 410-786-6153 >>> [EMAIL PROTECTED] 01/24/02 10:37AM >>> I would like to hear the opinion of either CMS or OCR on this issue. ----- Original Message ----- Sent: Tuesday, January 15, 2002 3:15 AM Subject: Covered Transactions > A covered entity (such as a provider) sends a non-covered transaction (such > as a Workers' Comp claim) to a covered entity (such as a payer who services > both Workers' Comp and other covered services) using a named transaction > (such as the 837 professional version 4010) and uses code values that do not > violate the 837 version 4010 standard, but are not covered in the HIPAA > implementation guide. The payer then sends an 835 version 4010 payment / > remittance advice for the same transaction back to the provider, using code > values that do not violate the 835 version 4010 standard, but are not > covered in the HIPAA implementation guide for the 835 version 4010. > > Are either of the transactions or entities non-compliant anywhere in this > process? > > Ken Steen > VP, Information Systems > Apollo Enterprises > ********************************************************************** 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.
