Regarding the unique routing ID for the payor (NAIC code?)... whatever it is, MUST be maintained in a central directory. At least, that's my vote as a small provider. People walk through my door unpredictably with all sorts of insurance plans and if it was EASY/PAINLESS to determine where to send a standard elig. query and/or a std. claim, then I'd be less inclined to require the patient to pay cash and duke it out on his own with his insurance company. A central payor address/routing directory seems like a vital component.
-Chris At 03:09 PM 1/19/02 -0600, you wrote: >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 Christopher J. Feahr, OD http://visiondatastandard.org [EMAIL PROTECTED] Cell/Pager: 707-529-2268
