Mimi
I'm with you on the guides we can't get.  One of my many nightmares about transactions 
is we'll receive a companion guide from a payer the middle of September and won't have 
time to do proper analysis and testing.  I had an opportunity a number of months ago 
to testify to a HHS Advisory Committee on Regulatory Reform regarding T&CS and 
addressed companion guides and the implications of no deadlines for getting them to 
providers, but since guides aren't even addressed in the rule, there seem to be no 
options.  Unfortunately, I don't think there is any real "clout" that can be wielded 
by providers to encourage payers to make these available soon.  I don't know that lack 
of timeliness will create additional chaos, but it certainly doesn't make the process 
any easier.   

Christine Jensen
HIPAA Project Manager
Denver Health
303.436.7942


-----Original Message-----
From: Mimi Hart [mailto:HartAM@;crstlukes.com]
Sent: Friday, November 15, 2002 10:43 AM
To: WEDI SNIP Testing Subworkgroup List
Subject: Re: Payer Edits (Type 7 or 8)


We need another "level" to test like ...well never mind. None of the
payer specific edits I have seen so far in companion documents appear to
reach the level of blatantly disregarding or changing what the Imp
Guides states. Instead, they are "we don't use this, so if you send, we
will ignore " or, "we will take this, but we won't validate on it", or,
the IG gives you 6 choices, we only pay on 4, or the IG says this can be
up to 20 characters, our payer specific # is only 13.  What concerns me
are the companion documents I cannot get at this time....


Mimi Hart ӿ�*
Research Analyst, HIPAA
Iowa Health System
319-369-7767 (phone)
319-369-8365 (fax)
319-490-0637 (pager)
[EMAIL PROTECTED]

 

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