Thanks Jan. We considered the unsolicited 277 and actually we would
probably do that before developing a proprietary transaction. However, in
some phone surveys we have done with a cross section of providers, many say
they will not initially have the capability to accept and 277U. That was
why we were considering U.S. Postal type letters informing them of pended
claims. Thanks again for your response.....
Dan Clark
Trigon Blue Cross Blue Shield
Richmond, VA.
804-678-0053
[EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
-----Original Message-----
From: Jan Root [SMTP:[EMAIL PROTECTED]]
Sent: Friday, February 22, 2002 11:55 AM
To: [EMAIL PROTECTED]
Subject: Re: Notifying Providers of Pended Claims
Dan
There is an 835 adjustment code for pended claims:
133 - The disposition of this claim/service is pending further
review.
Also, as a thought,
Payers here in Utah who have this problem are considering using the
277U for this
business need. It's not a HIPAA transaction but it would work fine.
Plus, they
figure since they have to implement a 277 anyway, it's not that much
more work to
implement another type of 277. And, the providers' software can
handle it with
little extra work (since they will be handling a 277 anyway).
Jan Root
"Clark, Dan" wrote:
> 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.
**********************************************************************
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.
