My company has HMO co-pays that can be monetary and percents or both. I am getting push back from a third-party eligibility service that the EB08 (Percent) field cannot be used with EB01 = B (co-payment). The IG does not seem to limit it to co-insurance only. We typically use co-insurance only on our indemnity product and co-payments with our HMO Commercial plans.
Am I correct in thinking they need to show our percent co-pays -- that it is HIPAA compliant? Thanks, Wendy Jensen This electronic message transmission, including any attachments, contains information from PacifiCare Health Systems Inc. which may be confidential or privileged. The information is intended to be for the use of the individual or entity named above. If you are not the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this information is prohibited. If you have received this electronic transmission in error, please notify the sender immediately by a "reply to sender only" message and destroy all electronic and hard copies of the communication, including attachments. ********************************************************************** 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.
