Ron,
No, if a transaction is not conducted, there is no basis for
implementing it as a standard transaction. {45 CFR 162.923 (a)} plus
{preamble page 50338, second column, response to comment vii.}
However, it might make sense / be nice to have your translator accept
such transactions if received and send a simple (997?) message back
indicating that such business functions are not processed.
Dave Feinberg
Rensis Corporation [A Consulting Company]
206-617-1717
[EMAIL PROTECTED]
----- Original Message -----
From: "Turpin, Ron" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, September 17, 2002 2:40 PM
Subject: 278 Question
If a health plan does not have coverage which require Referral
Certification or Authorizations, must the health plan implement the
278 transaction?
Thank you in advance for your comments or assistance. I have reviewed
the regulation and the comments and responses but cannot find a good
answer to this question.
Ron Turpin
HIPAA Project Manager
COUNTRY Insurance & Financial Services
Email: [EMAIL PROTECTED]
Voice: 309-821-6064
Fax: 309-820-5779
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