I believe the 276/277 would only be required if this notification was in response to an inquiry. To me, this sounds more like an unsolicited claim status, which is not regulated by HIPAA. The unsolicited 277 transaction could be used as well as proprietary formats.
Bill Sayman -----Original Message----- From: Young, Brian [mailto:[EMAIL PROTECTED]] Sent: Friday, February 22, 2002 11:07 AM To: '[EMAIL PROTECTED]' Subject: RE: Notifying Providers of Pended Claims Dan, You really have no choice EDI wise. There is a specific Transaction Set (276/277 Health Care Claim Status Request and Response) covering your area of concern. BCY Brian C. Young Senior Software Engineer Accu-Med Services An OmniCare Company 300 TechneCenter Dr. Milford, OH 45150 -----Original Message----- From: Clark, Dan [mailto:[EMAIL PROTECTED]] Sent: Friday, February 22, 2002 10:46 AM To: [EMAIL PROTECTED] Subject: Notifying Providers of Pended Claims We currently notify Providers of their pended claims on our proprietary electronic remit. There is no allowance for that in the new 835. We are trying to decide whether or not continue this practice and if so, how? We are considering generating paper "letters" that would be mailed to providers. We are also looking at creating a separate proprietary electronic pend notification transaction. And as previously stated, we are also considering stopping the process of sending this information to Providers. I would appreciate hearing from anyone who has a similar dilemma and let me know how you are handling it. Thanks very much Dan Clark 804-678-0053 [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> ********************************************************************** 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.
