NO...that is against the intents of HIPAA.  I think Patrice is referring to
data edits that are subjected by payer systems after the transmission has
been accepted into the payer's system.

_______________________________________________

John Lilleston
Technical Supervisor
Verizon Information Technologies, Inc.
Healthcare Solutions
813-979-3225
[EMAIL PROTECTED]
http://www.VerizonIT.com/
_______________________________________________


                                                                                       
                         
                      "Rich MacCatherine"                                              
                         
                      <Rich.MacCatherine@sou        To:       "WEDI SNIP Testing 
Subworkgroup List"             
                      rcemed.net>                    <[EMAIL PROTECTED]>     
                         
                                                    cc:                                
                         
                      11/14/2002 01:26 PM           Subject:  RE: Payer Edits          
                         
                      Please respond to                                                
                         
                      "WEDI SNIP Testing                                               
                         
                      Subworkgroup List"                                               
                         
                                                                                       
                         
                                                                                       
                         




Should these "payer edits" that you are referring to force you to make
modifications against the specifications in the HIPAA IG?


__________________________________
Richard J. MacCatherine
Software Engineer
Source Medical Solutions, Inc.
866 North Main Street Extension
Wallingford, CT  06492
Direct:            203.284.7582
Fax:         203.284.7620
Email:             [EMAIL PROTECTED]
Web:         www.sourcemed.net

 -----Original Message-----
From:              [EMAIL PROTECTED]
[mailto:john.lilleston@;verizon.com]
Sent:        Thursday, November 14, 2002 12:31 PM
To:          WEDI SNIP Testing Subworkgroup List
Subject:           Re: Payer Edits


Patrice,

Yes...any payer edits that are not mentioned in the X12N implementation
guides would be referred to as the next type of testing.  Our plans are to
delve more into that subject in the Business to Business Testing white
paper.

_______________________________________________

John Lilleston
Technical Supervisor
Verizon Information Technologies, Inc.
Healthcare Solutions
813-979-3225
[EMAIL PROTECTED]
http://www.VerizonIT.com/
_______________________________________________



                      "Thaler, Patrice

                      M"                       To:       "WEDI SNIP Testing
Subworkgroup List"
                      <Patrice.Thaler@a
<[EMAIL PROTECTED]>
                      llina.com>               cc:

                                               Subject:  Payer Edits

                      11/14/2002 12:26

                      PM

                      Please respond to

                      "WEDI SNIP

                      Testing

                      Subworkgroup

                      List"







There are some payers that are developing their own companion guides and we
will be testing against them with a tool prior to direct testing. Would we
call this "Type 8" testing?


Patrice Thaler
Allina Hospitals and Clinics
HIPAA Project Manager
Phone: 612-775-9705
Pager: 612-654-3066
Fax: 612-775-9715



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