Alex,

For something misidentified in this manner, you would have to make your own
determination as to what response you would give back...but, again, I would
think that if given the information provided on the inbound 270 you can be
certain you've identified the correct individual in your system, why not
return a meaningful answer. After all, the intent here is to avoid requiring
the provider to make a phone call.

In any case, it's still a business decision as to what you want to do in the
scenario you describe.

Rachel

-----Original Message-----
From: Alex Chernyak [mailto:[EMAIL PROTECTED]]
Sent: Monday, April 29, 2002 10:30 AM
To: [EMAIL PROTECTED]
Subject: RE: Subscriber vs. Dependent


And how about when the provider marks the subscriber as a patient (2100D)
but submits the details for a dependent (2200E) or vice versa?

>>> "Rachel Foerster" <[EMAIL PROTECTED]> 04/25/02 09:15PM >>>
Jonathan,

I'm sure/hope others here will also respond, but here's my take on your
questions:

1. If the patient is NOT the subscriber, the patient HL should be created,
even in the absence of knowing the member id for the patient. If the patient
is the subscriber, then ONLY the subscriber HL should be created with as
much identifying information as can be obtained, keeping in mind the minimum
data required for subscriber/patient identification.

2. If the information source can accurately and unequivocally ascertain that
the individual being queried about is the same individual in their system, I
would recommend responding even if the individual is not the subscriber, but
putting the individual's information in the appropriate HL structure.

Of course, in both cases, you'd have to determine your own business rules
for these responses, since the implications could be different if the query
was for eligibility versus authorization/referral.

Rachel
Rachel Foerster
Principal
Rachel Foerster & Associates, Ltd.
Professionals in EDI & Electronic Commerce
39432 North Avenue
Beach Park, IL 60099
Phone: 847-872-8070
Fax: 847-872-6860
http://www.rfa-edi.com


-----Original Message-----
From: Jonathan Fox [mailto:[EMAIL PROTECTED]]
Sent: Thursday, April 25, 2002 5:13 PM
To: [EMAIL PROTECTED]
Subject: Subscriber vs. Dependent


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

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