Does the law prohibit only "wallet sized", ink-on-paper renderings? What about mag-stripe or bar-coded SSNs on wallet cards?
Bizarre...
At 12:15 PM 9/19/2003 -0400, William J. Kammerer wrote:
I don't think the California law bans using the SSN as an ID - just that it can't be printed on an identification card. Since most everyone knows his own SSN, that shouldn't be much of a handicap.
If Susan were able to "do" an electronic eligibility inquiry using the name and SSN, and perhaps the adddress, then surely that same information should be suitable for filing a claim, wouldn't you think?
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, September 19, 2003 11:47 AM Subject: Re: Insurance cards with no Insured ID
William, Mainly because of the "I dunno" response from the insurance company. That indicates to me that they have no idea what the proper ID is. If they had come up with any positive response, working with them would be, indeed, the better option.
They're being a pain, and blaiming HIPAA when the cause is California law banning the use of SSN as ID. Sometimes, the only way to get some payers (most are great guys, but a few...) to clean up their act is to apply pressure from the ones who are actually paying them (the policyholders).
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]
----- Original Message ----- From: William J. Kammerer To: WEDI SNIP Transactions Workgroup List Sent: Friday, September 19, 2003 10:02 AM Subject: Re: Insurance cards with no Insured ID
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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--- 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.
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