Re: Payers sure do like proprietary provider IDs! Do providers feel the same way?

2002-03-29 Thread Christopher J. Feahr, OD
The ISA receiver ID is defined as follows in the IG: "Identification code published by the receiver of the data; When sending, it is used by the sender as their sending ID, thus other parties sending to them will use this as a receiving ID to route data to them" The definition seems to imply th

Re: Payers sure do like proprietary provider IDs! Do providers feel the same way?

2002-03-29 Thread Michael Mattias/Tal Systems
If I may chime in Methinks we are confusing the two SEPARATE identifiers of 'EDI Address' and 'Provider ID.' The EDI Address is (should be) there to make sure the data get to the correct party and is (should be) independent of application. In a 'healthcare' context: the proposed NPI is (sh

Re: Payers sure do like proprietary provider IDs! Do providers feel the same way?

2002-03-29 Thread William J. Kammerer
Actually, in the WEDi/SNIP ID & Routing group, we're merely concerned with the manner in which entities are identified in the ISA interchange header (and perhaps the GS) segment for routing. As Rachel said yesterday, "the focus [of our group is] on the 'functional use' of the identifier in the IS

Re: A Rose By Any Other Name...

2002-03-29 Thread Christopher J. Feahr, OD
William, Some of our "preferred ID" discussions seem to be flipping back and forth between the preferred ID-key for the "CPP Registry" and the ID that the message receiver would prefer to have in the ISA... one of the items that would be enumerated in the CPP Registry record. If there were sev

RE: What's the focus?[ID to be used as "key" to the CPP registry]

2002-03-29 Thread David Frenkel
Chris, There may be exceptions though like HCA which is a hospital chain and each hospital could have a FTIN knowing that these chains are always buying and selling hospitals. Also, in the case of HCA they today agreed to pay CMS $250 million for various appeals (fraud) over the past 10 years(AHA

RE: Payers sure do like proprietary provider IDs! Do providers feel the same way?

2002-03-29 Thread David Frenkel
Ken, You make some good points about current concerns but unfortunately the federal government is starting to play a bigger part in financing US hospitals. The AHA has lashed out at Medicare for cut backs in reimbursements and they will probably be restored, in the past 10 years 12% of ER's in th

RE: What's the focus?[ID to be used as "key" to the CPP registry]

2002-03-29 Thread Christopher J. Feahr, OD
David, My thinking was that every organization would have AT LEAST one FTIN and might not have even one of the other identifiers. So if that ID was going to be the potential trading partner's key to discovering all the CPP information, then I presume payors would designate one FTIN for this p

Re: Update on CPP effort.

2002-03-29 Thread William J. Kammerer
Rachel Foerster put together a good summary of the CPP/A work coming out of ebXML, in her e-mail " Requirement for Automated Trading Partner Setup," on Thursday, 14 February, 2002, available in the archives at http://www.mail-archive.com/routing%40wedi.org/msg00205.html. In effect, a CPP is a mac

RE: Payers sure do like proprietary provider IDs! Do providers feel the same way?

2002-03-29 Thread Fody, Kenneth W.
William: I agree that the lack of standard Provider IDs is a problem. However, if the suggestion is that the industry ought to embrace the DUNS number (or any other number) as an unofficial standard, then I would object to that concept. The problem with that idea is that the release of the fina

RE: Update on CPP effort.

2002-03-29 Thread Fody, Kenneth W.
I am somewhat new to this listserv. Is there some place I can go to find out what the acronyms CPA and CPP mean? Thanks. Ken Fody Independence Blue Cross -Original Message- From: William J. Kammerer To: WEDi/SNIP ID & Routing Sent: 3/29/02 12:22 PM Subject: Re: Update on CPP effort.

Re: Update on CPP effort.

2002-03-29 Thread William J. Kammerer
Dick: Thanks for the update. It looks like we're getting good traction with this ebXML CPP/A stuff! Speaking of the ebXML Registry: yes, Kepa's DNS "directory" could certainly "locate" a CPP document containing trading partner information, using one or more identifiers as the key for the sear

A Rose By Any Other Name...

2002-03-29 Thread William J. Kammerer
RosettaNet and other initiatives have chosen to identify every partner using the same ID domain, such as D-U-N-S. This does make things slightly simpler, in that no one has to remember what kind of identifier this 9 digit number is - it's always a D-U-N-S! I don't really think it's necessary, th