Good question but one that does not seem to be answer-able!  To make the
problem more evident - there are 16 states that have a Paris address.  God
forbid that you should inadvertently select one of those states as your
'required' state code.  Then it could get really problematic!  To make
matters even worse, the requirement for a state code requires the use of the
USPS State Codes so we can't even use a 'not otherwise defined' code.

This was pointed out to X12 before the final addenda was published.  I'm
told that we must wait until 4050 (and all of the NPRM, Final Rule
publishing) before this will be resolved.  At that time the IG will be
changed to make the State Code situational based on the comment for N402
that says it is only required if the city name (N401) is in the US or
Canada.  But then that makes the Country Code problematic since it is only
required when the address is outside of the US or Canada.  So how do we
identify Canada?  Hope there is not a Paris, Canada!

/Helene
 
Helene Guilfoy
Guilfoy Consulting, LLC
mobile: 717-468-8085
email: [EMAIL PROTECTED]

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] 
Sent: Tuesday, March 25, 2003 2:52 PM
To: WEDI SNIP Transactions Workgroup List
Subject: RE: State Code Required -- What do you do with foreign countries

OK,

Let me re-ask Peggy's question.

Is there an industry work around for and unvalued state code when the
address is foreign?

For example, if the address is in Dresden Germany  how would the state code
be valued?

Thanks!

Tami Leaver
Sr. Application Analyst
PA/PM Team
Medstar Health Information Systems
410-933-6905

 

                    "Bass, David (DHS-PSD)"

                    <[EMAIL PROTECTED]       To:     "WEDI SNIP
Translations Subworkgroup List"                                      
                    t.mhg.edu>
<[EMAIL PROTECTED]>

                                                    cc:

                    03/24/03 01:43 PM               Subject:     RE: State
Code Required -- What do you do with foreign countries           
                    Please respond to "Bass,

                    David (DHS-PSD)"

 

 





That comment is taken from the standard. It was not created for the
implementation guide. In the standard, N402 is optional, hence the comment.
The IG requires it regardless.

________________________________
"And the saga continues..."

David Bass
DHS, Office of HIPAA Compliance
Phone: (916) 255-5282
Fax: (916) 255-5271


-----Original Message-----
From: Paul Weber [mailto:[EMAIL PROTECTED]
Sent: Monday, March 24, 2003 9:49 AM
To: WEDI SNIP Translations Subworkgroup List
Subject: RE: State Code Required -- What do you do with foreign
countries


The N4 segment (Member Residence City, State, ZIP Code) in Loop 2100A of
the
834 has a specific comment on element N402 (State or Province Code) that
reads "N402 is required only if city name (N401) is in the U.S. or Canada."

I'll leave it to others to debate whether the comment overrides the USAGE
REQUIRED statement of the implementation guide for this element.

Sincerely,
Paul Weber
916-449-6970
[EMAIL PROTECTED]


----- Original Message -----
From: "Peggy Honts" <[EMAIL PROTECTED]>
Date: Thu, 20 Mar 2003 19:14:10 -0500
To: "WEDI SNIP Translations Subworkgroup List"
<[EMAIL PROTECTED]>
Subject: RE: State Code Required -- What do you do with foreign countries

> Thank you Chris for forwarding my question.  Even if they are not a
covered entity -- they believe and I agree when they use the transaction it
should be compliant.  Also, if a covered entity receives a non-compliant
transaction -- they would not be able to use their compliance checkers.
>
>
>
> Peggy Honts, Vice President
> HIPAA, Architecture & Data Services
> AXIOM Systems, Inc.
> 20300 Century Blvd., Suite 120
> Germantown, MD 20874
> Direct 301-840-9165 X212
> Cell 301-518-9930
> e-Fax 928-752-1441
> [EMAIL PROTECTED]
>
>
> -----Original Message-----
> From: Christopher Feahr [mailto:[EMAIL PROTECTED]
> Sent: Thursday, March 20, 2003 6:56 PM
> To: Peggy Honts; WEDI SNIP Translations Subworkgroup List
> Cc: William J. Kammerer
> Subject: Re: State Code Required -- What do you do with foreign
> countries
>
>
> Hello Peggy,
> I see very little traffic on this listserve (in fact, I forgot I was even
> subscribed to it!).
>
> I'm copying William Kammerer because he is quite knowledgeable about
these
> sorts of things.  You may also wish to post your question to the
> "transactions" listserve.  Since the entity sending you the 834 will
likely
> not be a covered entity, you could leave it empty for subscribers located
> outside the USA.  (I'd be inclined to use whatever worked in a case like
> this!)
>
> Regards,
> -Chris
>
> Christopher J. Feahr
> Optiserv Consulting (Vision Industry)
> Office (707) 579-4984
> Cell (707) 529-2268
> http://Optiserv.com
> http://VisionDataStandard.org
> ----- Original Message -----
> From: "Peggy Honts" <[EMAIL PROTECTED]>
> To: "WEDI SNIP Translations Subworkgroup List"
> <[EMAIL PROTECTED]>
> Sent: Thursday, March 20, 2003 2:48 PM
> Subject: State Code Required -- What do you do with foreign countries
>
>
> What do you do when building transactions (834) for subscribers that are
> located in a foreign country.  The implementation guide and the
compliance
> checkers all require a State Code.  There is no State code.  Has anyone
> found a solution or work around for this requirement.
>
> Peggy Honts, Vice President
> HIPAA, Architecture & Data Services
> AXIOM Systems, Inc.
> 20300 Century Blvd., Suite 120
> Germantown, MD 20874
> Direct 301-840-9165 X212
> Cell 301-518-9930
> e-Fax 928-752-1441
> [EMAIL PROTECTED]



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