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Thanks, Doug. This helps clarify the "request for information
piece." Let me narrow the question from the provider side.
If the
provider requests it, is the payer required under HIPAA to send denials through
an 835?
Thanks
for your help.
Kathy
-----Original Message-----
From: Doug Webb [mailto:[EMAIL PROTECTED] Sent: Friday, March 14, 2003 10:16 AM To: Carlin, Kathy (Contractor); WEDI SNIP Transactions Workgroup List Subject: Re: Claim Denials Cathy,
Not yet. The unsolicited and claim acknowledgment
versions of the 277 haven't been made a HIPAA standard
yet.
You can use them if you and your trading partners agree.
You might also agree that the 277 requests for additional info replace the paper
requests.
You have to send a 835 if the provider requests it (this could
be either in place of or in addition to your paper EOB).
If you are responding to a 276, you would have to respond with
a 277 indicating the current claim status.
The opinions expressed here are my own and not necessarily the opinion of
LCMH.
Douglas M. Webb
Computer System Engineer Little Company of Mary Hospital & Health Care Centers [EMAIL PROTECTED] "This electronic message may contain information that is confidential
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- Claim Denials Carlin, Kathy (Contractor)
- Re: Claim Denials Doug Webb
- Re: Claim Denials Carlin, Kathy (Contractor)
- Re: Claim Denials Doug Webb
