Again, my apologies to folks not interested in the
healthcare thread....
And since a clearinghouse is defined
> > circuitously as an entity that remaps data between two
> > partners, it seems to me that the legislation is
> > meaningless.
>
> No, it enables the development of specifications and
> formats that enable XML
> <-> X12 EDI translation. We are developing an open source
> XML healthcare
> system which you, or anyone else, can use to format
> healthcare information
> in ways that can be transformed into X12 EDI. There are
> alot of other
> reasons to use XML in healthcare information and since we
> can go back and
> forth to X12 it works out fine.
>
I'm sorry, this argument is lost on me. None of my
customers in health insurance use XML, and precious few use
X12. They have contracted with clearinghouses to convert
trading partner EDI's to some format they have specified to
feed their legacy systems. This legislation allows them to
continue to do so. Even if everyone converted to X12 (or
XML), they would still need the clearinghouse for routing
between the thousands of insurance companies and hundreds
of thousands of providers.
So can you explain in more detail how this legislation
enables the development of specifications that enable
XML<->X12 translation, or more specifically, who cares?
We process and send some 200 million health insurance
transactions a year, so this is not a trivial issue for us.
I'm amazed at how many HIPAA conferences I have gone to
where the "distinguished panel of experts" have stated
emphatically that HIPAA will eliminate paper completely,
will mandate a standard transaction, and cure the common
cold, but I just don't see it in the final regulation.
I can still use my clearinghouse to accept my non-standard
transactions, and translate non-standard transactions I
send it, regardless of which end of the transaction I am
on. It seems to me the only requirement is that a
clearinghouse accept an X12 at no greater cost than
whatever I am sending it today. But what is the incentive
to do the X12 if it is only at no greater cost?Can anyone
show me one single example where a covered entity has to do
anything different than it is doing today?
Chris Thompson
>
------ XML/edi Group Discussion List ------
Homepage = http://www.XMLedi-Group.org
Unsubscribe = send email to: [EMAIL PROTECTED]
Leave the subject and body of the message blank
Questions/requests: [EMAIL PROTECTED]
To receive only one message per day (digest format)
send the following message to [EMAIL PROTECTED],
(leave the subject line blank)
digest xmledi-group your-email-address
To join the XML/edi Group complete the form located at:
http://www.xmledi-group.org/xmledigroup/mail1.htm
