a roster of enrolled members can either be put in the 834 or the Unsolicited 271. The 834 is specifically for "enrollment" purposes. The term "roster" leads me to the U277, which is not currently an "HIPAA-mandated" transaction. This does not restrict any org from using it however. The U271 is the proper place for a roster and has more information for this type of activity than the 834.
hope that helps. Ruth Tucci-Kaufhold UNISYS Corporation 4050 Innslake Drive Suite 202 Glen Allen, VA 23060 (804) 346-1138 (804) 935-1647 (fax) N246-1138 [EMAIL PROTECTED] -----Original Message----- From: Wojnowski, Charlotte M. [mailto:[EMAIL PROTECTED]] Sent: Thursday, May 23, 2002 3:27 PM To: [EMAIL PROTECTED] Subject: RE: Health Plan Rosters 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
