I am interested in hearing from other HMO's, PHO's, Mental Health
Carriers and others who deal with either end of the global capitation
environment.

1.  If the HMO's globally capitate a Network, PHO or IPA and require
that they return paid claims data, does that not meet the definition of
encounter data?  If you are a plan - are you therefore requiring it to
be sent in the 837?  If a provider are plan's asking you for the 837?

If yes,

2.  Have you thought about how to reconcile that the 837 captures little
or no elements of the payment?  and how have you reconciled this?

3.  Assuming the issues in #2 can be resolved - How would the PHO or
Network, who receives primarily paper 1500 forms or superbills from the
docs be able to create a compliant 837 when these forms do not contain
the required data elements of the 837?

FYI - My interpretation of issue 1 is that yes, it meets the
definition.  Many of of Networks, however, disagree and have reported
that other payers are not requiring this.  I am trying to collect
additional information how the industry views this scenario.





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