If this file is used for enrollment, yes it needs to follow the format.  

But, in the case that this file is not being used for enrollment, but as a
report of members enrolled, I'm not sure.  I hope someone can answer that
portion of the question. 

Charlotte Wojnowski
Caremark 
847-444-6065


-----Original Message-----
From: Si Nahra [mailto:[EMAIL PROTECTED]]
Sent: Thursday, May 23, 2002 1:45 PM
To: [EMAIL PROTECTED]
Subject: Health Plan Rosters


If this is an old issue, excuse my going over old ground.  But, I would
appreciate any guidance.

Here is the situation.  A self-funded health plan sends a monthly electronic
enrollment roster to its plan administrator.  That roster contains personal
information on individuals being added to and deleted from the health plan.

I know this roster must meet privacy and security requirements.

My question is: Must this roster be formatted to meet HIPAA EDI transaction
requirements?

Thanks in advance for any help.

Si Nahra

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