Ed,
Thank you for the very informative reply!
I am looking forward to the discussion next week and will see if time permits me to 
join on the call in Dec.
Patrice

-----Original Message-----
From: Ed Hafner [mailto:ehafner@;foresightcorp.com]
Sent: Thursday, November 14, 2002 12:41 PM
To: WEDI SNIP Testing Subworkgroup List
Subject: RE: Payer Edits


Patrice,

Shoot, I just wrote this long reply and Mark and John beat me to the punch :)  Here 
are some more detail thoughts just in case you need more depth.

When we were debating the changes in the Testing and Certification White Paper, we 
wanted to limit the scope of the paper to compliance to the Implementation Guides.  
All of us felt uncomfortable with the Levels terminology since it infers a 
hierarchical approach to testing.  In the end, we decided to define the Types of edits 
that are specified explicitly in the IGs.  Types 1 through 6 are the same as Levels 1 
through 6.  Since there were Payer specific edits in the Implementation Guides from 
Medicare and Indian Health, we created a new type called Type 7.

As for the edits that are partner specific outside the IGs (mostly payer edits), since 
we are only allowed to reject HIPAA data that is not compliant with the guides, we 
felt that this topic should be reserved for the Business to Business Testing white 
paper.  In that paper and in the upcoming Front-end Edits document, it will describe 
its business terms.  We were shying away from using Type 8 since there would be 
implications that it is part of Implementation Guide compliance.  Come join the fun on 
the Testing calls every other Thursday, next one being December 5th, 11:00 EST.

Regards,
Ed

Edward A. Hafner
Chief Technology Officer
Foresight Corporation
+1.614.526.4328 
  

-----Original Message-----
From: Thaler, Patrice M [mailto:Patrice.Thaler@;allina.com]
Sent: Thursday, November 14, 2002 1:00 PM
To: WEDI SNIP Testing Subworkgroup List
Subject: RE: Payer Edits


Do you think you will refer to them as type 8?
This is for a communication piece or MN HIPAA Collaborative is working on.
Thank you

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:john.lilleston@;verizon.com]
Sent: Thursday, November 14, 2002 11:31 AM
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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