I wonder what is being interpreted as a "loop hole"? Anthem's
interpretation is that only version 4010 A1 is compliant as of 10/16/2003.
Cathy M. Ewbank
HIPAA Program Manager
(317) 488-6172
"Karyn White"
<[EMAIL PROTECTED]> To: "WEDI SNIP Testing
Subworkgroup List"
<[EMAIL PROTECTED]>
09/15/2003 03:43 cc:
PM Subject: Re: 4010 vs. 4010A for HIPAA
Compliance
Please respond to
"Karyn White"
Our clearinghouse house said there is a "Loop Hole" in the final rule
regulation and some of the payers are considering themselves compliant with
the 4010. Too bad for providers, who thought this was a standard
transaction.
>>> "Connie Hein" <[EMAIL PROTECTED]> 09/15/03 01:53PM >>>
We have been working with a client who contracts with one of the major
clearinghouses to conduct transactions. This clearinghouse has stated that
they will not be able to accept 4010A transactions as of October 16, 2003.
Rather they will only accept 4010 version.
Is the payer compliant if they only accept version 4010 after the
compliance deadline? It is our understanding that 4010A is necessary for
compliance, but they are telling us differently.
Thanks in advance for your response.
Connie Hein
Senior Consultant
Paramore Consulting, Inc.
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