We are using two different compliance analysis tools and each give us errors on the following.
Per the IG for the 834 Addenda: 2.6: Updates Versus Full File Audits A full file audit lists all current members, whether involved in a change or not. This facilitates keeping the sponsors and payer's systems in sync. This is not intended to contain a history of all previous enrollments. The full file audit is intended to identify all active members, at a given time in time and may or may not include terminated members based on the TPA. This type of transaction is identified by a BGN08 code value of '4', Verify. Any response back to the sponsor from the received transactions are outside the scope of the 834 and are the responsibility of the sponsor and payer. We have BGN08 set to '4'. On the 834 transaction in full file audit mode, how do you provide the reason for termination when you want to terminate a member? INS03 = 030 appears to be wrong regardless of the value in INS04 All feedback is most welcome! Thank you, Jacqueline Dougherty HIPAA UAT Testing First Consulting Group 425-918-3312 --- 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
