Janie,

Requiring the use of "not used" elements would be a compliance violation of
the HIPAA IG.

Specifying the requirement for situational constructs must be determined by
the covered entity evaluating the situation defined for each construct, and
then determining whether it applies to them or not. In some cases, the
truthness/falseness of a given situation can be determined only by the
provider or submitter of the transaction and in other cases, it's the payer
that has the prior knowledge to make this determination. Thus, the emergence
of companion documents.

Companion documents are neither mandated nor prohibited by HIPAA. However,
no covered entity can enter into a trading partner agreement, which may or
may not include companion documents, that changes the usage, definition or
attributes of any of the HIPAA guide constructs.

Rachel Foerster
Principal
Rachel Foerster & Associates, Ltd.
Professionals in EDI & Electronic Commerce
39432 North Avenue
Beach Park, IL 60099
Phone: 847-872-8070
Fax: 847-872-6860
http://www.rfa-edi.com


-----Original Message-----
From: Janie Miller [mailto:[EMAIL PROTECTED]]
Sent: Thursday, July 11, 2002 3:02 PM
To: '[EMAIL PROTECTED]'
Subject: req vs. situation - companion documents


Probably ignorant questions, but I must clarify for my own sanity:

In a companion document, is it HIPAA compliant for a covered entity to
"require" certain "situational" loops/segments/data elements of its trading
partner(s)?  What about when the covered entity wants to "require" certain
specific data in "NOT USED" description fields?



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