We are a health plan and are currently working on creating the 834 enrollment transaction to send to our trading partners who pay claims on our behalf. We have questions on how others are handling Handicap and Disability information
1) Handicap Indicator (Loop 2000, INS10). This is a situational element, but "REQUIRED if the member is handicapped". We collect this information for some but not all members within all lines of business. It is not information that is used to determine claim payment.
- does anyone have an operative definition of "handicapped" for the purposes of completing this transaction?
- how are others approaching supplying data for this field - is anyone else finding that the line of business doesn't require collecting handicapped data so that they cannot determine whether this field should be set to "yes" or "no"?
2) Disability Information (Loop 2200). This is a situational loop and "should only be sent when enrolling a disabled member." The loop requires specification of whether the disability is short-term, long-term, or permanent/total. We do not currently collect any such information; nor is it needed to determine claim payment.
- does anyone have an operative definition of "disabled"?
- how are you handling this field?
3) If 'Handicap Indicator' is sent as "yes", must Disability information also be sent on the transaction? The IG is silent on this relationship, but unless 'handicap' is defined differently than 'disability', it would seem that if a person is handicapped, the type of disability is being required.
thanks,
Ellen Tatge
IS Project Manager
Presbyterian Healthcare Services
505/923-6882
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