Hi All,
Does anyone know of "data dictionary" for the x12 transactions sets that
shows all of the data elements for each set & which fields are required?  I
do not mean the implementation guide...

Thanks,
Mike H. 
_______________________________________________ 
Michael J. Hancsarik
V.P., Information Technology
3rd Floor, Extension 6237 



-----Original Message-----
From: Heiert, David [mailto:[EMAIL PROTECTED]]
Sent: Friday, February 15, 2002 10:07 AM
To: '[EMAIL PROTECTED]'
Subject: RE: Must providers/billers comply with all formats


Well, based on this discussion, I have to raise another question...

If provider and payer are not required to exchange data electronically EVER,

can all of the information exchange be done via phone, fax, etc?
If so, that would mean that none of the HIPAA standardization
and privacy rules are going to apply...  Is that true?

I don't remember seeing anything that MANDATES that private insurance 
agencies and private providers are required to exchange data
electronically...
-----Original Message-----
From: Leah Hole-Curry [mailto:[EMAIL PROTECTED]]
Sent: Friday, February 15, 2002 12:52 PM
To: [EMAIL PROTECTED]
Subject: Re: Must providers/billers comply with all formats


Dale,

Providers that do not "transmit any health information in electronic
form in connection with a transaction" are not covered entities and thus
not regulated by HIPAA rules at all.  Note that if the provider has an
organization conduct the transaction electronically on their behalf,
this makes them covered.

Your question appears to be are covered providers then mandated by HIPAA
to conduct all the applicable transactions as a standard?  The answer is
no, a provider, if conducting a transaction electronically, must use the
standard.  However, if the provider is  using a non-standard means (ie.
paper, telephone, fax, voice response) for some transactions, this is
permitted.  See section 162.923.  Note, however that a plan is not
requierd to continue to support non-standard communication means and may
decide that because HIPAA mandates that a plan support all standard
transactions (plans have additional requirements at 162.925), it may not
make business sense to continue supporting other communication methods
as well.  

Leah Hole-Curry
Fox Systems, Inc.

>>> [EMAIL PROTECTED] 02/15/02 04:32 AM >>>

When looking at what entities need to comply with HIPAA, it is clear
that all payer covered entities need to comply with EDI standards as set
forth in the HIPAA documentation. I also know that all billers who
"choose to send electronic transactions must do so in the specified
formats."  However, it is not immediately clear to me whether billers or
providers must comply with all electronic standards.  Obviously this is
true of claim submissions in the X12N 837 4010 format.  The question I
have is whether these providers / billers are forced to comply with
formats such as 270/271 Health Care Eligibility Benefit Inquiry as well
if they choose to submit electronic claims?  

I am fairly new to the HIPAA world so please forgive me if this is a
simple question. I do appreciate your help.

Dale W. Pocklington, MS, MHA, CDIA, CCA



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