Background: We currently perform the Claims Status Inquiry today on our Web Site for providers that allows for many search options including the ability to search on specific procedure codes, check numbers etc.
The 276/277 Implementation Guide states that a claim status search has to contain the following hierarchical loops: Provider, Member, Date of Service(s). Question: In modifying my Claim Status Inquiry Web transaction for HIPAA compliance and following the DDE exception, can I allow for searching without requesting the specific member or date of service as long as I present the data using HIPAA data content. Also, I am requesting that I provide for additional elements to be queried on that do not exist on the IG from a format perspective (check number) and am planning on continuing this, otherwise my Web utilization will drop dramatically and my call volume will increase. Does anyone see any issues with this? Frank Romano Director, Oxford Health Plans ********************************************************************** 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.
