I have a question regarding the X12 transaction sets named under HIPAA that use the subscriber and dependent HL structure. More specifically the inquiry/response transactions.
If the information receiver (provider) does not know the patient's member id, how should they build the transaction set? Should they put the patient information at the subscriber or the dependent level? Likewise, if the inquiry comes in at the subscriber level, and the member is NOT the subscriber, should we respond? Any guidance would be greatly appreciated!!! Jonathan 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.
