Thanks everyone for the information, it has really been informative.

While shipping may not be straight forward it sure seems like it compared to
this HIPAA stuff, which has made my head spin on more than one occasion.

Again, thanks everyone!

Bonnie

-----Original Message-----
From: David Frenkel [mailto:[EMAIL PROTECTED]
Sent: Friday, September 17, 2004 4:35 PM
To: 'EDI-L Mailing List'
Subject: RE: [EDI-L] Level 5....???



Bonnie,
I worked in the chemical industry for a short while and I wouldn't say it
was straight forward shipping regulated chemicals around the world.

Regards,

David Frenkel
612-237-1966

-----Original Message-----
From: Bonnie A. Boucher [mailto:[EMAIL PROTECTED]
Sent: Friday, September 17, 2004 11:01 AM
To: EDI-L Mailing List
Subject: Re: [EDI-L] Level 5....???

Thank you William & John.

My EDI background is Transportation, which I thought was pretty straight
forward, and then I jumped into the Healthcare industry and am now dealing
with HIPAA and there are times when I feel like my head is spinning.

I appreciate your help!

Thanks,

Bonnie




-----Original Message-----
From: "William J. Kammerer" <[EMAIL PROTECTED]>
Sent: Sep 17, 2004 8:49 AM
To: EDI-L Mailing List <[EMAIL PROTECTED]>
Subject: Re: [EDI-L] Level 5....???

It doesn't surprise me that strange terms - left unexplained - would be
bandied about with respect to HIPAA;  I suppose it lends an air of
"mystery" and "panache" to folks in healthcare EDI.  This is only a
guess, but I reckon that "Level 5" is a reference to the "types" of WEDI
testing (once called "levels," but now called "types") described in the
Testing and Certification White Paper, Version 3.0 (08/01/2002) at
http://www.wedi.org/snip/public/articles/testing_whitepaper082602.pdf.

"Type 5: External code set testing - Testing for valid Implementation
Guide-specific code set values and other code sets adopted as HIPAA
standards. This level of testing will not only validate the code sets
but also make sure the usage is appropriate for any particular
transaction and appropriate with the coding guidelines that apply to the
specific code set. Validates external code sets and tables such as CPT,
ICD9, CDT, NDC, status codes, adjustment reason codes, and their
appropriate use for the transaction."

Having said all this, the translator or map is *not* the place to stick
external code set validation.  Instead, as it presumably always has
done, your adjudication system will validate medical and nonmedical code
sets.  The translator's job is simply to parse the 837 and extract the
claims for further processing by applications.

William J. Kammerer
Novannet, LLC.
Columbus, OH 43221-3859 . USA
+1 (614) 487-0320

----- Original Message -----
From: "Bonnie A. Boucher" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Friday, 17 September, 2004 09:48 AM
Subject: [EDI-L] Level 5....???


Good Morning,

I have been working on a new project and had a twist thrown at me that I
have not come across before and was looking for some direction.

I am working on setting up an 837 but our client wants us to use "LEVEL
5" (they said it was not HL7)  and so far I have not gotten a clear
understanding of what exactly "Level 5" means or does.

Is there someone out there that is familiar with this terminology that
can help me understand.

Thanks for your help.


Bonnie Boucher





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