Brenda, All payers MUST be able to conduct all of the HIPAA standard transactions electronically, on Oct. 16. Payers do not have the option to revert to paper. Providers, however, do have the option to use paper or conduct any of the HIPAA transactions via paper or electronically.
The payers do have discretion over some situational elements, which are typically published in a companion guide. This is the supplemental, optional payer-specific document -- a supplement to the HIPAA implementation guides. And of course there are the code set changes. If a provider wants to continue to get paid, that provider needs to know what the payer-specifics requirements are (hopefully you can get a Companion Guide). Further, that provider needs to make sure its own systems are fully enabled for content and format. And finally, that the code set changes are incorporated. Remember that all payer-specific "local" codes are going away. 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 =========================================== This email contains confidential information intended only for the named addressee(s). Any use, distribution, copying or disclosure by any other person is strictly prohibited. -----Original Message----- From: Brenda K. Burton [mailto:[EMAIL PROTECTED] Sent: Wednesday, June 04, 2003 11:20 AM To: WEDI SNIP Transactions Workgroup List Subject: Payors not compliant effective on provider Please, if somebody could clarify/refer me to the answer (I'm sure this has been dicussed): If a payor is unable to handle electronic transactions by October 16, may they revert to paper unilaterally? What other A/R risks are present for the healthcare provider if a particular payor is not able to be compliant by October 16? Looking for contingency planning reasons. Thanks! Brenda Brenda K. Burton MEDEXTEND 877-491-7650 Join us for discussion at: http://groups.yahoo.com/group/compliantbilling/join Available on Instant Messenger as: medextend This message is intended only for the use of the individual or entity to which it is addressed in the TO:,CC: or BCC: portion of the heading of this email as originally addressed from the domain 'medextend.com' and may contain information that is privileged and confidential. If you have received this message in error,please notify the sender immediately and destroy the transmitted information. We do not consent to any reading, dissemination, distribution or copying of this message if received in error. --- 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 --- 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
