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Miriam,
The issue should be addressed by contract. The TPA seems
to be an appropriate contract to include it in.
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]
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----- Original Message -----
Sent: Monday, June 02, 2003 10:04
AM
Subject: TCS Trading Partner Agreement
Question
Scenario:
A certain delivery
systems has a 21-day payment turnaround. The clock starts when the HMO
receives the claim from the provider and ends when the third-party
administrator (different company than the HMO) pays the claim.
Providers are allowed to charge interest if the payment is late.
How does the HMO and the third-party administrator address this potential
liability? Is this an appropriate business item to include in the
trading partner agreement? Or should it be addressed in some other legal
form?
Best Regards,
Miriam J. Paramore (Co-Founder and President of HAWK)
President
& CEO
PCI: e-commerce for healthcare
9001 Shelbyville Road
iTRC
Building
Louisville, KY 40222
502-429-8555
www.hipaasurvival.com
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