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Amen, Rachel!
A restrictive business practice is just that --
a restrictive BUSINESS PRACTICE.
To blame such obstructions on HIPAA is just plain
lying.
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]
"This electronic message may contain information that is confidential
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----- Original Message -----
Sent: Saturday, September 20, 2003 03:23
PM
Subject: RE: Insurance cards with no
Insured ID
Valeta, simply because California (and perhaps other states)
have passed
legislation prohibiting the use of the SSN doesn't mean that an
insurance
company can't assign some other unique identifier to each
insured. Using
this legislation as a basis for not assigning an insured
identifier is also
bogus.
This legislation wasn't passed overnight
in the blink of an eye. Insurers
knew this was coming for months if not
longer. They've had ample time to
prepare for using/assigning other insured
identifiers and providing those
insureds with insurance cards with
appropriate information so that claims
can be submitted. It's irrelevant
whether it's the provider or the insured
submitting the claim; either party
must know the insured's identifier to do
so.
This is just plain
bogus and crap! I am so nauseus of covered entities
hiding behind HIPAA to
place new barriers to doing business and providing
appropriate customer
service.
Rachel
Rachel Foerster
Chief Executive Officer
Rachel
Foerster & Associates, Ltd.
Ideas - Products - Innovation
39432
North Avenue
Beach Park, IL 60099
Voice: 847-872-8070
email: [EMAIL PROTECTED]
http://www.rfa-edi.com
-----Original
Message-----
From: Valeta Barger [mailto:[EMAIL PROTECTED]
Sent: Friday, September 19, 2003 9:48 AM
To: WEDI SNIP Transactions
Workgroup List
Subject: RE: Insurance cards with no Insured
ID
Doug,
I agree that blaming HIPAA is bogus, however
California passed legislation,
I believe in July 2002, that prohibits the
use of social security numbers on
correspondence, including insurance ID
cards. Since most, not all, insurers
have traditionally used the SS#
as the ID number this has required a massive
change in business for
insurers. You should also note that Utah has also
passed similar
legislation. I agree the response from the insurer is
unacceptable. I
would contact the claim manager at the payer to obtain the
needed
information and report the incompetent employee that provided
the
answer. I also think some of the responsibility falls upon the
patient
(consumer). If the consumer wishes the provider to bill their
insurance
company on their behalf the consumer most certainly should ensure
that they
can supply the needed information to the provider. It is
inconceivable to
me that any consumer would purchase a product that
requires ID numbers in
order to use the product and not demand this
information from the company.
That's like obtaining a credit card but not
being provided the number so
that you can utilize the card. Also
after having worked in the insurance
industry for 20 years I find that this
business is just like any other
business. There are good and bad
companies that employee good and bad
staff. It has been my experience
that most insurers wouldn't respond with
"You can't do that!" but if
approached would work to correct the problem.
>
-----Original Message-----
> From: Doug Webb
[SMTP:[EMAIL PROTECTED]
> Sent: Friday, September 19, 2003 10:05
AM
> To: WEDI SNIP Transactions Workgroup List
> 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]
> <mailto:[EMAIL PROTECTED]>
>
>
----- Original Message -----
> From: Susan Hollabaugh <mailto:[EMAIL PROTECTED]>
> To: WEDI SNIP Transactions Workgroup List
> <mailto:[EMAIL PROTECTED]>
> 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
> (703) 369-5775
---
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