A rebiller is definitely
a Business Associate as stated in the definition ... "... performs a function or
activity regulated by this subchapter on behalf of a covered entity, as defined
by this section."
It appears that the
rebiller might be "out of a job" if they cannot at the very least accept an 837
claim that they are "rebilling" for their customer (covered entity). If
the provider has to transmit an 837 and the payer has to receive an 837 ... what
exactly is the rebiller going to get?
And ... they would now
be regulated by the privacy/security rule as well.
Ruth
Tucci-Kaufhold
HIPAA Systems Analyst
UNISYS Corporation
4050 Innslake Drive
Suite 202
Glen Allen,
VA 23060
(804)
346-1138
(804) 935-1647
(fax)
N246-1138
[EMAIL PROTECTED]
-----Original Message-----
From: Havenhill-Jacobs, Tamara [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, October 16, 2002 4:44 PM
To: [EMAIL PROTECTED]
Subject: TPA question
Are TPA's who reprice claims for insurance companies required to accept the standard 837 per HIPAA guidelines?Basically, we have a few third party administrators who believe they are exempt - and in so, require and will continue to require, additional data elements when claims are sent for re-pricing AND they do not believe they would be regarded as Business Associates.Any feedback?Tamara Havenhill-JacobsHIPAA Project LeadExempla Healthcare303-837-6737email: [EMAIL PROTECTED]
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