As I payor I'm interested in finding out how other entities are going to be handling transactions that are not HIPAA Compliant.  There are commercial compliance checkers available out there, the question is what you do with the transaction that fail compliance.  It seems to fall into several broad categories:
 
1)  Don't do Compliance checks at all--if I can process the transaction through my back-end system I'm happy.
2)  Do Compliance checks only during the development and testing stage with a given trading partner.
3)  Do compliance on all incoming file, send out a 997, but don't reject anything.
4)  Reject the ST/SE pair that contained the compliance error and accept the rest of the file.
5)  Reject the entire file.
6)  Other
 
Where does your organization, and others you've worked with, fall on the above list?
 
Thanks
 

Mike Schmidt
Ochsner Health Plan
504.219.8189
[EMAIL PROTECTED]

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