Gulp!  Doesn't that almost fly in the face of other remarks seen on this
list in the past weeks and months to the effect that as HIPAA was concerned,
these IGs had the force of law?  So, that would mean if there is a
HIPAA-specific note you have to follow it, but if no HIPAA-specific
note...then you can do whatever is possible in the guide.  That distinction
definitely wasn't clear to me.

Thanks,
Bill Chessman
Peregrine Connectivity, Inc. (though opinions expressed, if any, are my own)

-----Original Message-----
From: Paul Weber [mailto:[EMAIL PROTECTED]]
Sent: Thursday, July 18, 2002 3:43 PM
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Subject: Re: 004010X061 Interpretation Please...


Remember that these guides are Industry Guides that were adopted for use
under HIPAA Administrative Simplification by DHHS. They are not HIPAA
specific guides. In particular, the 820 transaction set is used by many
industries for payments and remittance advices. Hence the authors of the
Premium Payment implementation guide for the 820 had to take in account the
needs of other insurance entities besides health care.
 
The 820 guide specifies the use of a particular code under HIPAA. The
remaining codes, which by inference are excluded under HIPAA, remain in the
IG for use by those non-HIPAA covered entities that wish to use the IG.

Paul Weber
916-449-6970



----- Original Message -----
From: Bill Chessman <[EMAIL PROTECTED]>
Date: Thu, 18 Jul 2002 12:58:15 -0700
To: "''WEDI Transactions List''" <[EMAIL PROTECTED]>
Subject: 004010X061 Interpretation Please...


> Question for the group.  Looking at page 63 of the 820 IG (004010X061),
I'm
> trying to figure out the coding of the N103.  There seems to be some
> conflicting information.
> 
> First off, there appears to be a box that indiates code 65 will be used
when
> the National Employer Identification scheme is up and running.  The last
> sentence in that gray box reads "Until that time, code FI is the alternate
> HIPAA compliant identifier."
> 
> There follows a list of seven codes that are defined for N103 including 1,
> 9, 24, 75, EQ, FI and PI.
> 
> So, uh, what's the deal?  If FI is the alternate "HIPAA compliant" value,
> what are the others?  Since they're also listed in the HIPAA IG, aren't
the
> also "HIPAA compliant?"
> 
> Best regards,
> Bill Chessman
> Peregrine Connectivity, Inc.


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