David,

Ruth has a valid point and is actually supported by your response. The
section in the regulation is 162.925(2) A health plan may not delay or
reject a transaction, or attempt to adversely affect the other entity or the
transaction, because the transaction is a standard transaction. I think it's
important to note that the requirements says "delay" or "...adversely
affect".

The word "delay" is relative to the receiving entity and the situation and
"adversely affect" is relative to the sender. So the argument is: if a plan
provides eligibility information, down to the benefit level, real-time via
the telephone but decided to respond yes/no to the 270/271 thereby requiring
a phone call and "delaying" a response and "adversely" affecting the other
entity that sent a standard, would that be in violation of section
162.925(2)? The provider sends a "standard" and gets less, it could be
construed as being adversely impacted. Any thoughts?

Lindsay

-----Original Message-----
From: David A. Feinberg, C.D.P. [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, February 12, 2002 9:11 PM
To: [EMAIL PROTECTED]
Subject: Re: 270/271 Question -- Before vs. After


Ruth,

As far as I know, there are no "before" versus "after" requirements
for HIPAA.  What anybody does before has no bearing on the
requirements for compliance after.  Thus the undefined word "delay", a
relative as opposed to absolute term, would have to be operationally
and case-by-case defined unless DHHS provides some additional official
explanatory materials (e.g., the future Enforcement regulation).

Can you cite any regulatory language that I may have missed?  Thanks.

                    Dave Feinberg
                    Rensis Corporation
                    206-617-1717
                    [EMAIL PROTECTED]


----- Original Message -----
From: "Tucci-Kaufhold, Ruth A." <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, February 12, 2002 1:14 PM
Subject: RE: 270/271 question


Does this discussion fit under that category of "an entity cannot
delay a
transaction?"

My interpretation of that is an entity cannot delay any of the
transactions
from "before HIPAA".  So, if their reply "today" includes more
information
than yes/no ... isn't there some sort of "obligation" to at least
provide
what is being given today?  If not, and they say yes/no and say if you
want
more ... isn't that "delaying" the transaction?

Maybe I'm too logical?

Ruth Tucci-Kaufhold
UNISYS Corporation
4050 Innslake Drive
Suite 202
Glen Allen, VA  23060
(804) 346-1138
(804) 935-1647 (fax)
N246-1138
[EMAIL PROTECTED]




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