John: Sure, I would like to discuss it! It's a handsome, if really old, 835, indeed... except for the missing IEA. But did you mean to send this privately? - it ended up going to the listserve. But in any case, it's a good example to prompt questions which aid in our analysis. It's your choice whether you want to answer the questions on the list, or to me privately.
It looks like both the sender and receiver are mutually defined (the dreaded ZZ qualifiers). What are they supposed to be? - what is the 9000000380, and who is DD0064? Were these sanitized, too, or are they what was actually used? Actually it would help if only PHI (the subscriber, patient and claim detail) was "sanitized" or deidentified - the payee, payer and bank are the parties we want to want to know everything about, and need the real detail. There's nothing secret about these parties - and these are the very parties for whom we're trying to figure out things like how they address each other. Other questions: Did this remittance go through a Clearinghouse? Or point to point? Did it go straight to the provider, or to an intermediary like a billing service? Who chose the sender and receiver IDs to use? The payment was sent separately by ACH, but the ABA routing code of the bank - and the account number - were "sanitized" away; at least the ABA routing code would have been relevant if we were looking at a payment order to a bank (how does a bank require the ISA to be addressed?). Some providers might be queasy about having their account number shared (though it's certainly not PHI) on a listserve, so it's reasonable to switch a few digits around; but think about it: every grocery and dry cleaners that I have ever written a check to now has my bank's ABA routing code and my account number....so what?? Anyway, thanks for starting the ball rolling! We need detail, detail, detail! William J. Kammerer Novannet, LLC. +1 (614) 487-0320 ----- Original Message ----- From: "John Bristor" <[EMAIL PROTECTED]> To: "WEDi/SNIP ID & Routing" <[EMAIL PROTECTED]> Cc: "John Bristor" <[EMAIL PROTECTED]> Sent: Friday, 15 March, 2002 01:43 PM Subject: Re: Identifiers Here's an example of an old 835 (sanitized).. would you like to discuss it? ------------------------------------------------------------------------ -- ISA*00* *00* *ZZ*9000000380 *ZZ*DD0064 *950510*0320*U*00303*951300304*0*P*>~ GS*HP*9000000380*42T091*950510*0066*209225*X*003030M~ ST*835*1076~ BPR*I*18788.66*C*ACH************950511~ TRN*1*000000000000000000000000000000*9000000380*000209225~ REF*F5*ACPS99~ N1*1P*Hospital Name~ N3*Hospital Address Line~ N4*ANYWHERE*SC*999999999~ LX*950911~ TS3*42T091*11*950930*2*21328.04*20901.64*426.40**18788.66**2112.98****** ***4 26.40~ TS2***********2*22*22~ CLP*H031025061*01*6779.09*6832.24***0195117435150*11*1*01*462~ CAS*CO*89*172.70**A2*-225.85**96*172.70~ CAS*OA*B3*6606.39~ NM1*QC*1*LASTNAME*FIRSTNAME***HN*248599999A~ MIA*8**************8~ REF*EA*H018999~ DTM*232*950320~ DTM*233*950328~ CLP*H030578999*01*14548.95*11956.42***0195117447999*11*1*01*462~ CAS*CO*89*253.70**A2*2338.83**96*253.70~ CAS*OA*B3*14295.25~ NM1*QC*1*LASTNAME*FIRSTNAME****HN*326096999A~ MIA*14**************14~ REF*EA*H206999~ DTM*232*950303~ DTM*233*950317~ SE*27*1076~ GE*1*209225~
