I agree that a healthplan cannot opt to not implement a transaction - from the comments to the Transactions regulations (page 50314, middle column) comment 1 Electronically Transmitting Transactions...Response:...
With respect to health plans, a
health plan is required to have the capacity to accept and/or send (either
itself, or by hiring a health care clearinghouse to accept and/or send on its
behalf) a standard transaction that it otherwise conducts but does not
currently support electronically."
Kris
Owens
505-923-8108
"God made the earth, the sky and the water, the
moon and the sun. He
made man and the bird and beast. But He didn’t make the
dog. He already
had one." – Native American
saying
-----Original Message-----
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
Sent:
Tuesday, March 11, 2003 7:10 PM
To: WEDI SNIP Transactions Workgroup
List
Cc: WEDI SNIP Transactions Workgroup List
Subject: RE: 278 Response
is Mandatory....
Janna
I do not believe that is correct -
if you are a covered entity health plan
you are required to be able to
receive and respond to a 278. A health
plan cannot opt out of
supporting any of the 9 transactions..
Only providers have the option of
going to a paper based operation and not
having to comply with HIPAA
transaction
regulations.
[EMAIL PROTECTED]
206.287.5418
"Meek,
Janna"
<[EMAIL PROTECTED]
To: "WEDI SNIP Transactions Workgroup List"
<[EMAIL PROTECTED]>
alth.com>
cc:
Subject: RE: 278 Response is
Mandatory....
03/11/2003
05:08
PM
Please
respond
to "Meek,
Janna"
My
understanding is that a 278 response is only mandatory if you currently
have
an electronic response for referral authorization. However, if you
are
like most plans and have a paper response process, I don't believe you
your
required to implemented the 278 response.
-----Original Message-----
From: Hipaa Learner
[mailto:[EMAIL PROTECTED]]
Sent: Tuesday, March 11, 2003 4:58 PM
To: WEDI
SNIP Transactions Workgroup List
Cc: Anne
Romer
Subject: 278 Response is
Mandatory....
We implemented "278" to
accept referral authorization. Does HIPAA
mandates that we should send "278" response. Please advice.
Thanks.
Do you
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