Group:
 
I read through the Implementation Guide Selection white paper draft, dated 11/5/02.  This paper regarded the health care industry's current billing methods, and explained how these affect which HIPAA Implementation Guide may be used when billing for specific health care services.  We at Oxford are trying to determine whether to build an 837D for Oral Surgery services.
 
The survey included within the paper illustrates what we have been discussing-that the dental provider may either submit and 837P or 837D for an oral surgical service.  More to the point, there isn't any billing consistency now and may not be in the future.
 
From my point of view, the place of service (POS) and provider should determine what transaction should be submitted.  If the POS is 21 and the facility is billing, and 837I should be used.  If the Oral Surgeon is billing, use and 837P.  For regular dental services  (bitewing, prophylaxis, etc.) use an 837D.  However, the survey suggests perhaps using an 837P would be a more suitable format, since dental providers use the proprietary 1500 format, so to speak.
 
Please let me know your thoughts as to the above.
 
Thank you for your consideration and responses.
 
Regards,
 
Gary Tolin
Oxford Health Plans
HIPAA Project Manager
Internal:204-7301
External:  800-889-7658, x. 7301
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