I hate to say this, but the 835 will be a totally different beast.
The provider CAN say that they want the 835 to be delivered to their bank,
or a different clearinghouse.
The 835 route can be different than the claim route - in fact, there does
not have to BE a claim route - paper claims go on the 835 as well as
electronic claims.
Also, the 835 represents a check or EFT. Any single 835 may have claims
that came to the payer from the provider by two different routes or entry
points.
Bob
"Velnosky Todd L"
<VelnoskyToddL@John To: "'[EMAIL PROTECTED]'"
<[EMAIL PROTECTED]>
Deere.com> cc:
Subject: 837/835 routing through
clearinghouses
05/30/2002 05:17 PM
I have a question that is articulated in the below hypothetical:
Hypothetically, a payer has relationships with two clearinghouses to
receive
claims and submit remits: CHA and CHB. A provider sends an 837-I through
CHB which, in turn submits to CHA to reach the payer. This process takes
place due to the connectivity environment between the payer and CHB which
only allows 837-P to be transmitted. The payer produces an 835 based on
that 837. Could the payer submit the 835 to CHB or should it follow the
same route through which came the 837 (via CHA)?
Questions or comments contained herein are not the opinion or position of
John Deere Health Care, Inc. or John Deere Health Plan, Inc.
