William, I don't think it's unreasonable to believe that many large instituional providers submit claims to dozens, if not more, payers. I suspect that only smaller providers that may be in more rural rather than large urban centers, might deal with only a few payers.
Thus far the discussion here seems to be between William and me. I'd much prefer to hear from the actual players in these various scenarios: providers, payers and clearinghouse. Rachel -----Original Message----- From: William J. Kammerer [mailto:[EMAIL PROTECTED]] Sent: Saturday, January 19, 2002 12:51 PM To: WEDi/SNIP ID & Routing Subject: TCS: Payor identification codes for 837I An interesting question re: Identifiers posted to hipaalive yesterday causes me to come up with some of my own: This request reminds me of the periodic queries for directories of SCAC codes that arise on the general purpose EDI-L mailing list: I always wonder why people just don't ask their (relatively few) carriers for the respective codes. Likewise, wouldn't a provider (even an institutional one) be dealing as a participating provider with relatively few payers, and hence only need those payers' NAIC codes? - i.e., would there really be a need for a NAIC directory? Does COB complicate the matter? - i.e., the secondary payer may be known only by name, assuming it's provided by the patient. Is the NAIC commonly used as the receiver (or sender) field of the ISA? Rachel: corral me in if I'm making any unwarranted assumptions! William J. Kammerer Novannet, LLC. ----- Original Message ----- From: "Jeffrey Young" <[EMAIL PROTECTED]> Sent: Friday, 18 January, 2002 11:12 AM Subject: RE: TCS: Payor identification codes for 837I The National Association of Insurance Commissioners issues an identifier to nationally significant carriers. Their database enumerates over 6,000 indemnity and managed care life, accident and health care payers. -----Original Message----- From: Marcus E. McCrory [mailto:[EMAIL PROTECTED]] Sent: Friday, January 18, 2002 6:48 AM To: HIPAAlive Discussion List Subject: [hipaalive] TCS: Payor identification codes for 837I *** HIPAAlive! From Phoenix Health Systems/HIPAAdvisory.com *** Regarding 2010BC-NM109 (page 127) & 2330B-NM109 (page 410) of the 837 institutional guide, what currently serves as a central repository for all of the payor identification codes for different plans/payors throughout the country in the absence of a national identifier? Am I missing a previously published list or well known resource? Thank you
