Doug,
The intended use of the HIPAA 278 guide (4010X094) is for request for health care services and associated response. A separate guide, the 278 Health Care Services Review - Inquiry and Response (4010X059) enables the requester to inquire on the status of a health care services review (is there an authorization/referral out there for this patient). 278 Inquiry (4010X059) is not a HIPAA transaction. "Darlene Peterson" <[EMAIL PROTECTED]> on 03/22/2002 07:11:24 AM Please respond to <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> cc: Subject: Re: 278 Question In the implementation Guide under the 2000F Service level, the UM01 element gives you three choices AR - Admission Review (use to request admission to a facility) we would use as a authorization request, HS - Health Services Review (use to request for review of services related to an episode of care) we would use as an authorization request or SC - Speciality Care Review (use for a request for a referral to a speciality provider) we would use as a referral. If this line is sent in correctly it should state which the sender is requesting. This transaction is used to request and receive a response for authorizations and referrals. 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] 03/21/02 04:54PM >>> We are now beginning work on the 278 Referral/Auth Transaction. There seems to be some confusion as to what this transaction is all about. Is it just a request for the status of a requested referral? or can you actually request a referral and get an authorization back in a 278? Any input would be appreciated. Doug Cassavar Paramount Health Care ********************************************************************** 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. ------------------------------------------------------------------------------- This message and any included attachments are from Siemens Medical Solutions Health Services Corporation and are intended only for the addressee(s). The information contained herein may include trade secrets or privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may be unlawful. If you received this message in error, or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by e-mail with a copy to [EMAIL PROTECTED] Thank you ********************************************************************** 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.
