but can we return the transaction and ask for clarification as in 276
(status category = "R0" —---> "request for additional info" and status code = 
"157" —---> "entity's gender")

>>> "Hope Furtado" <[EMAIL PROTECTED]> 06/04/02 08:48AM >>>
A simple example would be Sex Code which under HIPAA allows for the
following codes:

   M - for Male
   F -  for Female
   U -  for Unknown

A Payor or Provider cannot require that an organization only send "F" or
"M", thus not accepting "U" based on an agreement outside the standards of
HIPAA.  

Please feel free to contact me if you still have any questions or concerns.

Hope

Hope Furtado
Corporate Information Architect
TM Floyd & Company, Inc.
[EMAIL PROTECTED] 
(800)780-1170 extension 129

> -----Original Message-----
> From: Mimi Hart [SMTP:[EMAIL PROTECTED]] 
> Sent: Monday, June 03, 2002 4:24 PM
> To:   [EMAIL PROTECTED] 
> Subject:      Trading Partner/code values question
> 
> I apologize up front if this is the wrong set to send this question to:
> 
> I have read and reread the Wedi Trading Partner White Paper and I am
> still struggling with the following:
> 
> "informational subsets of valid code values that are used in any of the
> receiver's systems or business processes" are okay...
> 
> but
> 
> "explicit requirements to only submit certain code values which are a
> subset of the values permitted in the IGs" are not...
> 
> can someone help me get this straight? another example perhaps? Thanks
> MIMI
> 
> Mimi Hart
> Research Analyst, HIPAA
> Iowa Health System
> 319-369-7767 (phone)
> 319-369-8365 (fax)
> 319-490-0637 (pager)
> [EMAIL PROTECTED] 



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