Re: TPA question

[James Kelly]

Title: Message

Ruth,   When you say they are now regulated by the privacy and security, you mean as a business associate right?    Thanks for the clarification.   Jim   ----- Original Message ----- From: Tucci-Kaufhold, Ruth A. To: '[EMAIL PROTECTED]' Sent: Wednesday, October 16, 2002 5:16 PM Subject: RE: TPA question 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-Jacobs HIPAA Project Lead Exempla Healthcare 303-837-6737 email:  [EMAIL PROTECTED]     ********************************************************************** 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. ********************************************************************** 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. ********************************************************************** 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.