As the Payor, we had not been doing EDI at all and went from no EDI to HIPAA compliant EDI. If a claim status is received and the Insured ID provided is invalid, do we have to provide the capability to search on names prior to responding? The reason I ask is because we have a unique number assigned to each Insured and we are not always provided with the correct Insured ID. Are we going to be required to accept in the transaction and search on name to locate the number prior to returning as not our Insured?
I appreciate anyone who can assist. Thanks, Teresa Howeth, Business Analyst DP Admin [EMAIL PROTECTED] UICI http://www.uiciinsctr.com 817-255-3338 Office ********************************************************************** 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.
