Kepa,

To my way of thinking, a "transaction" is everything within an ST-SE pair.
Thus, even if there were 10,000 claims contained therein, it would still be
one "transaction."

-----Original Message-----
From: Kepa Zubeldia [mailto:[EMAIL PROTECTED]]
Sent: Friday, July 19, 2002 8:01 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED];
[EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Re: When is a claim a standard claim?


Rachel,

Thank you.  Exactly what we needed to start this debate going.  I knew you
would pick up on my "singular" vs. "plural" comment, especially since I made
it up, to stir up the debate.

But the question is still the same.  When the Secretary adopts a standard
for
claims, is the standard for the equivalent of a UB92 or HCFA-1500, or is the
standard for a container that can hold 5,000 of those critters?

Two possibilities:

A) If the standard is for the container, the presence of even one individual
claim inside the standard container will taint the whole thing and the
entire
container, regardless of how many good claims it has in it, becomes a
non-standard EDI transaction and must be rejected as a unit.

B) If the standard is for the equivalent of a single UB92 or HCFA-1500,
which
must be individually shaped to fit the X12 container, then each one must be
rejectable or acceptable independent of each other.  We currently don't have
a standard way to do these "claim" acceptance or rejections, but that should
not get in the way of progress.

So, is the standard for the egg or for the carton of eggs?

Is a "transaction" a single claim, or an "EDI Transaction" with many claims
in
it?

As usual, I have my opinion, but I want to hear a lot of other opinions
first.

Kepa Zubeldia
Claredi

-------------------------------------------------------
On Friday 19 July 2002 06:05 pm, Rachel Foerster wrote:
Kepa,

I understand your arguments. However, the language of the original statue
does clarify a bit, I think. Here it is:

��(7) STANDARD.�The term �standard�, when used with reference
to a data element of health information or a transaction
referred to in section 1173(a)(1), means any such data element
or transaction that meets each of the standards and
implementation specifications adopted or established by the
Secretary with respect to the data element or transaction under
sections 1172 through 1174.

Key words are that the standard is any data element or transaction.....

Now, if you look at the actual language of the Electronic Transaction Final
Rule, you see:

Subpart K�Health Care Claims or
Equivalent Encounter Information

� 162.1101 Health care claims or
equivalent encounter information
transaction.

� 162.1102 Standards for health care
claims or equivalent encounter information.

(b) Dental Health Care Claims. The
ASC X12N 837�Health Care Claim:

(c) Professional Health Care Claims.
The ASC X12N 837�Health Care Claim:

(d) Institutional Health Care Claims.
The ASC X12N 837�Health Care Claim:

Note in each instance the use of the plural "claims" and not the singular
"claim".....thus I believe I could make as equally a persuasive argument
that an 837 Transaction containing multiple claims, of which only one claim
is not in compliance, that the entire transaction is not in compliance since
the original statute specifically declares that the "standard" is either the
transaction, or the data element.

Rachel
Rachel Foerster
Principal
Rachel Foerster & Associates, Ltd.
Professionals in EDI & Electronic Commerce
39432 North Avenue
Beach Park, IL 60099
Phone: 847-872-8070
Fax: 847-872-6860

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