The path an 835 would take from a payer to the provider should be determined
and agreed to between the two respective parties **and** their respective
financial institutions, taking into consideration that table 2 of the 835
contains protected health information. As such, if it were to pass to the
provider using the respective financial institutions and the ACH, it must be
encrypted. Here's some commentary from Stanley Nachismon from CMS (thanks to
Brett Hacker from Remettra) on the subject:

"...you've got to worry about first of all the storage on your site, on the
bank's site, to make sure that only the right people are accessing that
information and able to send it. Secondly, you've got to make sure that the
transmission is protected, that as the information is being sent it's
possibly encrypted or there's another method that's being used to protect
the information so that if it's intercepted nobody can see it. And you also
want to make sure that it's clearly going to the right place in the
provider's office and that only the right folks in the provider really have
access to that information. So I think there are a series of controls that
would have to be implemented."

Rachel Foerster
Rachel Foerster & Associates, Ltd.
Voice: 847-872-8070
email: [EMAIL PROTECTED]
http://www.rfa-edi.com 


-----Original Message-----
From: Jackie Cameron (3) [mailto:[EMAIL PROTECTED] 
Sent: Monday, March 24, 2003 9:46 AM
To: WEDI SNIP Transactions Workgroup List
Subject: Required Format for the 835


Does anyone know if a payee can require that a covered entity send them an
835 via the ACH network?  I understand that the ACH transaction would go
through a DFI, and that there is ongoing discussion about the role of the
DFI in handling the 835.  I also understand that there are a number of
acceptable flows of data (per the implementation guide) for the 835.  For
example, it is acceptable to separate the data and dollars for the 835,
moving the dollars via a paper check and the data through an 835.  If this
format is considered compliant, can a covered entity choose this option and
not pursue the alternative format where the dollars are moved through the
ACH network, even if a payee requests it?  Any input would be appreciated.

Thanks,
Jackie Cameron
Product Coordinator
basys inc.
[EMAIL PROTECTED] 



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