The provider can send a request to the payer for any type of combination of claims submission and remittance/pymt receipt. The rule says that the payer cannot refuse to send/receive a transaction as requested by the provider.
Scenarios as discussed btwn provider/payer: 1. The provider can send paper claim and receive paper remittance 2. The provider can send paper claim and ask to receive an 835 -- the payer now has the "right" to ask the provider to send the appropriate information necessary to populate a compliate 835 if that information is not on the paper claim because the provider cannot ask the payer to send a "non-compliant" 835. 3. The provider can send a 837 and receive paper remittance. 4. The provider can send a 837 and receive and 835. hope this helps. Ruth Tucci-Kaufhold HIPAA Systems Analyst Co-Founder MAHI UNISYS Corporation 4050 Innslake Drive Suite 202 Glen Allen, VA 23060 (804) 346-1138 (804) 935-1647 (fax) N246-1138 [EMAIL PROTECTED] -----Original Message----- From: Burke, James [mailto:[EMAIL PROTECTED]] Sent: Thursday, February 06, 2003 8:37 AM To: WEDI SNIP Transactions Workgroup List Subject: 835 If a provider sends claims as paper to a payer, can the provider request an 835? Does a provider have to send an 837 to get an 835 back? Jim Burke EDI Programmer Analyst Healthlink 12443 Olive Boulevard St. Louis, MO 63141 (314)-989-6413 Phone (314)989-6643 Fax ~*~ So long for just awhile ~*~ -Jack Buck --- 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-transactions 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-transactions 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
