Doug, why can't Susan file the claim?  The patient surely knows her own
SSN, so leave off the member ID on the Subscriber NM1, and include a
secondary reference to the SSN. Can't insurance companies find out which
subscriber (or patient) is being referred to solely by the name and the
SSN? They have computers, don't they?  Why put the patient in the middle
of this?

William J. Kammerer
Novannet, LLC.
Columbus, US-OH 43221-3859
+1 (614) 487-0320

----- Original Message ----- 
From: "Doug Webb" <[EMAIL PROTECTED]>
To: "WEDI SNIP Transactions Workgroup List"
<[EMAIL PROTECTED]>
Sent: Friday, 19 September, 2003 10:04 AM
Subject: Re: Insurance cards with no Insured ID


Susan,
1) Blaming HIPAA for this fiasco is totally bogus.

2) "I dunno" is a totally unacceptable response from the insurance
company.

3) If you can't get a vaild insurance ID, you can't file a claim.  A 270
query MAY reval the proper information.  You shouldn't have to do so to
get a valid ID.  Bill the patient.  Inform the the insurance company
that you will do this, and will give the patient X days to pay before
being referred to your collector.  The insurance company will probably
respond "You can't do that!"; you can respond "We can and will if you
don't clean up your act!"

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 ----- 
  From: Susan Hollabaugh
  To: WEDI SNIP Transactions Workgroup List
  Sent: Friday, September 19, 2003 07:17 AM
  Subject: Insurance cards with no Insured ID



We have begun receive patients in our California Imaging Centers who
present Insurance cards with no Insured ID.

Here is the experience as reported from our Director in the region:

"One Health Plan and Aetna are issuing new insurance cards without the
Insurance Identification Number. I called both insurances to ask why,
and was told, "HIPAA". Both are in the process of issuing new cards to
ALL members

So I asked, the patient, "what is your Insurance ID number?". "I dunno"
, was the answer

So I asked the insurance companies, "are we to assume that the ID number
is the social security number?" "I dunno" , was the answer. They would
not provide me with the ID number."

How are we going to bill a patient's insurance company under these
circumstances? How are others dealing with this situation? Will this
necessitate Eligibility verification? Could we find the information that
we need that way? If this extends throughout the market, it will be a
nightmare for providers.

  EDI Project Manager
  8754 Dunstable Loop
  Bristow, VA 20136



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