Yes, and more specifically, it's left up to payers and providers to
establish this in their trading partner agreements. There shouldn't be a
regulation that specifies which provider types should use which
transactions, as long as they are HIPAA transactions. There are some
provider types - such as hospitals, for example - that would use both the
837P and 837I, depending upon which services are being billed. This has been
a common practice for many years, which has worked without any major
problems, and doesn't need to be regulated.
-----Original Message-----
From: Askew, Lindsay W [SMTP:[EMAIL PROTECTED]]
Sent: Tuesday, April 30, 2002 2:20 PM
To: [EMAIL PROTECTED]
Subject: RE: Institutions?
HIPAA doesn't specify who has to file which version of the 837, it's left up
to informal business rules.
-----Original Message-----
From: Bob Warner [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, April 30, 2002 12:18 PM
To: [EMAIL PROTECTED]
Subject: Institutions?
I am assuming that an institution (thus being required to file an
837i transaction) includes places such as hospitals, residential treatment
facilities, nursing homes (hospice facilities?) and similar types of
facilities. Are there any facilities which also are required to file the
837i but are not obviously institutions?
Thanks,
Bob
Robert E. Warner
Department of Human Services
3520 W. Oxford Ave
Denver, CO 80236
Phone - (303)866-7301
E-mail - [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
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