Hope, It's very possible that I'm confused on this, but your example appears to be one of what is *not* permitted. I.e., if "U" is part of the standard codeset, then it would have to be accepted. I was under the impression that a "companion guide" or "TPA" could list the codes normally used (as a kind of "serving suggestion") but could not require *only* that subset be used, rejecting transactions that contained other valid codes... such as the "U" in your example.
Regards, Chris At 08:48 AM 6/4/02 -0400, Hope Furtado wrote: >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] Christopher J. Feahr, OD http://visiondatastandard.org [EMAIL PROTECTED] Cell/Pager: 707-529-2268
