While the EDIFECS tool may be "fabulous" as you assert, it is most certainly not the only game in town by which providers can have their claims transactions content validated at run time against a payer's companion documents. I am aware of at least one major healthcare clearinghouse/transaction processor that offers this capability now to all of the providers coming through its network for the major payers across the country.
What this means is that the providers do not have to worry about testing in some type of community enablement effort, but can begin sending their HIPAA claims to their major payers comfortable with the knowledge that their claim content will be validated against that payer's companion documents each and every time they transmit a claim to that payer. Rachel -----Original Message----- From: Julie Thompson [mailto:[EMAIL PROTECTED] Sent: Thursday, March 20, 2003 10:09 PM To: WEDI SNIP Testing Subworkgroup List Subject: EDIFECS Trading Partner Enablement It is a fabulous tool and a serious opportunity for many health plans and other associations to validate provider's transaction against the health plans specific Companion Guides. While the plans and/or other organization hold the product license for the EDIFECS web based Enablement Model, their trading partners may be invited to validate their transaction on the Health Plans web site for FREE. There is an additional option to hook into the Health Plan's "FRONT END" adjudication system(s) to assure that the providers' transaction are NOT only compliant, but the content may be adjudicate in the core systems as well. NOW, this represents a solid testing strategy! Anyone interested in seeing a demo, please contact me. Julie A. Thompson 630-728-5580 _________________________________________________________________ Add photos to your e-mail with MSN 8. Get 2 months FREE*. http://join.msn.com/?page=features/featuredemail --- 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/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-testing as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- 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/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-testing as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
