The original scenario does not indiciate how this business activity is reported to the health plan, or how the entity gets paid for the payments it makes to the providers. Does it make a difference if the business associate/(clearinghouse?) reformats the data to feed directly into the healthplan's claim file? How is this different from a clearinghouse that is used by both the provider and the health plan?
Susan Miller [EMAIL PROTECTED] ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ====================================================== The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. Posting of advertisements or other commercial use of this listserv is specifically prohibited.
