I have a couple of comments on these minutes. 1) Regarding the response to the testing issue submitted to the issues database, I think that if Party A requires Party B to use a particular third party's software for validation, Party A should pick up Party B's costs, if any, of using that third party's software. However, if Party A allows Party B to choose the validation software, Party A would not need to pay for the validation costs.
2) X12N/TG2/SPWG2 (the work group that created the 824 Implementation Guide Reporting IG) was notified at the February X12 meeting that X12N/TG3 would be drafting a Type 1 Technical Report on which responses to use when. Not sure of the status of that work. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Wednesday, May 28, 2003 3:14 PM To: WEDI SNIP Testing Subworkgroup List Subject: Meeting Minutes - 5/22/2003 Attendees: Brandi Wyatt - EDIFECS Ed Hafner - Foresight Miriam Paramore - PCI Kerry - EPIC Systems Lou Oliver - Advent Software Patrick Edwards - Arkansas Blue Cross Tim Collins - Kentucky Medicaid Dave Frankel - EDIFEG Suzan Ryder - Empire Blue Cross Blue Shield John Lilleston - Verizon Agenda Items: 1) Review of Washington D.C. Conference: Ed Hafner reported that the Testing breakout session went very well. There were over 100 people in the room for the session and over 40 surveys were completed and returned to Ed after the session. Brandi also said she overheard several positive comments about the session after it was over. Many people liked that we were presenting actual testing experiences and statistics but some felt that there was not enough time provided in the session to allow the attendees to digest the information and ask questions. 2) Issue from Issues Database: The following issue was assigned to the Testing SWG and was discussed during the meeting - Can a health plan require that an entity certify with a third party testing service in order for the entity to begin testing with a plan. If so, can the health plan require that certification be obtained from a particular third party and if so, any caveats to that? Along these same lines, can a health plan require that an entity certify against its companion guidelines, with a third party testing service in order for the entity to begin testing with a plan. If so, can the health plan require that certification be obtained from a particular third party? Any caveats to these two items? This issue created a lot of discussion. The HIPAA legislation or ASCA does not mention certification or verification so the issue is pretty much left up to the formation of a best practice. The group agreed that requiring a third party validation/certification would need to be detailed in a Trading Partner Agreement (TPA). If a health plan does require this type of activity, they do have the right to require a particular third party for this purpose because certain business level editing would also probably be built into the software used by the third party that was specific to that particular payer. Not all third party vendors would have that specific editing functionality because they had not been working hand in hand with that specific health plan. The bottom line is that validation and/or certification is not required by the HIPAA legislation although it is recommended by the WEDI Testing white papers. Any requirement that is outside of the scope of the HIPAA legislation would need to be documented and agreed upon in a Trading Partner agreement. Please review the verbiage above as we would like to draft a final response to this issue during the next meeting and enter it on the SNIP website. 4) Next Steps for Testing SWG: Sue and John had discussed a couple of topics that the Testing SWG may want to undertake as our next steps. One idea was to develop a white paper as to business scenarios when the 997, TA1, 824, etc. transactions would be used. Also, document the advantages and disadvantages of using standard transactions versus proprietary ones until the standards are mandated. Brandi Wyatt also came up with another testing idea and will document that idea to the group prior to the next meeting. We will devote an agenda item to this subject for the next meeting and try to make some decisions as a group. Thanks!! ____________________________________________ John D. Lilleston Section Manager - Healthcare EDI Verizon Information Technologies, Inc. Phone - (813)979-3225 Fax - (813)978-5570 [EMAIL PROTECTED] www.VerizonIT.com ____________________________________________ --- 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. 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