I'd have to agree with Doug on this one.

There is no substitute for getting really familiar with the transaction set 
implementation guides and then sitting down with someone who knows the relevant side 
of your business for each transaction set. I did this with our billing VP for the 837s 
and was able to eliminate about 50% of the transaction set segments/attributes from 
consideration because we just don't use them, as well as identifying default values 
for many attributes.

For the 837s, it also helps to have the UB92/1500 specs on hand as many of the 
attribute comments contain references to the UB/1500 records/positions.

No external entity is going to be able to do this for you, although you can probably 
find people to help. Still, even if you pay someone, you still want to be able to 
check their work because, as you say, your company is responsible for the 
implementation.

Tom

Tom Berthoff
Senior Applications Developer
Home Health Corporation of America
620 Freedom Business Center
Suite 105
King of Prussia, PA 19406
610-205-2458 x316

>>> "Brenda K. Burton" <[EMAIL PROTECTED]> 03/06/03 03:03PM >>>

Can someone point me in the right direction...  we are a billing company and looking 
to find a concise, easy to understand list or gap analysis to help us understand what 
data elements are needed in addition to what we already collect to submit a claim.

I already looked at the WPC-EDI guide and it's a bit too techy for me.  I reviewed the 
Proxymed HCFA 1500-837P crosswalk and found that helpful, yet still not thorough 
enough for my needs.

So, where can I find a, excuse the term, 'dumb-it-down' version explaining this 
information?  For example, I understand that the "Type of Service (TOS)" code will no 
longer be necessary.  What will replace this if anything  (a taxonomy code)? 

Feel free to E me off the list as well.  Thanks in advance for your help!

Best,
Brenda 


Brenda K. Burton
MEDEXTEND
877-491-7650

Available on Instant Messenger as:  medextend

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