I'm moving the clearinghouse function to a wholly owned sub. It can receive whatever formats it wants and send them to the PPO as 4010 transactions. That should work.
-----Original Message----- From: Claudia J. Egan [mailto:[EMAIL PROTECTED]] Sent: Monday, February 18, 2002 11:02 AM To: '[EMAIL PROTECTED]' Subject: RE: Must providers/billers comply with all formats I would be worried that the repricing function is part of "payment" by the health plan and is performed by the network on the health plan's behalf. (In other words, whose business associate is the network?) If so, then the receipt by the network is receipt by a business associate of the plan, and the provider to PPO network electronic transaction is really a provider to plan transaction and must be compliant. Thoughts? ********************************************************************** 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.
