I think that's another good question for this group:  Is Soundex type matching HIPAA 
compliant?  The basis for this question is this:  If I inquire about Sherman Munster 
and information about Herman Munster is returned,  you are returning protected health 
information about someone other than who was inquired upon.  It is my position that 
Soundex type matching is NOT a HIPAA compliant solution.  There are error codes that 
can be returned to the Information Receiver to handle these types of failures.

Jon Fox
eCommerce Analyst
Independent Health

CONFIDENTIALITY NOTICE. This e-mail and attachments, if any, may contain confidential 
information which is privileged and protected from disclosure by Federal and State 
confidentiality laws, rules or regulations.  This e-mail and attachments, if any, are 
intended for the designated addressee only .  If you are not the designated addressee, 
you are hereby notified that any disclosure, copying, or distribution of this e-mail 
and its attachments, if any, may be unlawful and may subject you to legal 
consequences.  If you have received this e-mail and attachments in error, please 
contact Independent Health immediately at (716) 631-3001 and delete the e-mail and its 
attachments from your computer.  Thank you for your attention.


>>> [EMAIL PROTECTED] 02/13/02 08:13PM >>>
Our providers are faced with a similar situation. Soundex type of matching
on name, birthdate, and other information internal to the both of us will be
used. 

-----Original Message-----
From: Howeth, Teresa [mailto:[EMAIL PROTECTED]] 
Sent: Wednesday, February 13, 2002 2:34 PM
To: '[EMAIL PROTECTED]' 
Subject: 276 / 277 Claim Status


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.




**********************************************************************
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.

Reply via email to