I think you are seeing Congressional intent clashing with reality. It
is not talked about too much fraud was one of the many issues in the
early discussions concerning HIPAA legislation. It was thought if
providers had a unique id it would be easier to find patterns of abuse.
The reality being t
Chris,
For several years HCFA had been working on "payerID". Then HIPAA
specified Plan ID in the law. That is one of the reasons why the
regulations have not come out yet. It took a while to figure out how the
Plan ID, which is what the HIPAA law specifies, relates to the payerID,
which is w
Bruce,
As you are well aware health plans are in a competitive industry which
has caused health plans to tailor their many group plans to accommodate
the marketplace. It will be interesting to see if the NPI will
re-engineer the sales side of the business as you have indicated.
Regards,
David Fre
In my view, the core problem being considered by our group is the
addressing/routing of transactions. Since transactions only move around as
parts of interchanges, we will necessarily have to consider
routing/addressing at the interchange level, but I would argue strongly
against limiting thi
Bruce,
I realize this might be slightly off-topic, but it seems that what is
missing is a way to direct an individual provider's claim to a particular
insurance PLAN. Hard-wiring the plan's identification into the provider's
ID (common today) is one way... hardwiring it into the payor's ID usi
Jim does bring up a valid concern from the payer perspective. It is true
that many/most health plans identify providers uniquely for each provider
contract relationship to price and pay claims faster and more accurately,
and many providers have multiple contracts in place at any given time.
How
William,
Some thoughts...
In your nslookup use -type=MX instead of "all". More concise response.
We could put several MX records for you, with different priorities.
You could use the TXT record instead of the MX record.
The TXT record does not have a "priority" associated with it, like the
M
Part of any disagreement [on the scope of Identifier discussion] may be
due to confusion (on my part) with the charter of the Identifiers
Subgroup (the "ID" of WEDi/SNIP ID & Routing) - not an easy confession
to make considering I got "volunteered" to be a co-chair of the
sub-group at the Seattle
