Alan and Cindy -
Thank you for your input. You have been very helpful. 
Deborah Sparma

-----Original Message-----
From: Hirth, Alan [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, October 08, 2002 2:53 PM
To: '[EMAIL PROTECTED]'
Subject: FW: Information Receiver in 276 vs 270


 

Yep, lots of inconsistancies to deal with.  We are rolling the 270/271
out with the information receiver as the provider with a REF=EO to get
the intermediary's ID when one is used.  

We are rolling the 276/277 out with the intermediary as the information
receiver when one is used otherwise the provider information is repeated
there.  The provider information always goes into the provider level.


-----Original Message-----
From: Sparma, Deborah, nashccon
To: '[EMAIL PROTECTED]'
Sent: 10/8/02 2:38 PM
Subject: Information Receiver in 276 vs 270

Can anyone clarify the who the information receiver is in the 276. The
270
defines the Information Receiver as the entity who is asking the
questions -
physician, hospital another insurer. So if the transaction is being sent
through a clearinghouse, I understand this to mean that the information
receiver is NOT the clearinghouse information.

I thought I could apply this same logic in the 276, however, the 276
defines
the information receiver as the entity who is expecting the response
from
the information source - provider, employer or clearinghouse. Therefore,
I
understand this to mean that if a provider sends the 276 transaction
through
a clearinghouse, then the information receiver would actually be the
clearinghouse information, not the provider who is actually the one
asking
the claim status request.

I would like to use the Information Receiver information in the 276 the
same
way as in the 270, but I don't know if I can.

Does anyone else have a point of view?

Thanks,
Deborah Sparma


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