William,
Sorry for being so far behind in my emails. You might also include in
your IG list W3C XSD schemas which is the preferable (but not only)
format GEFEG supports. Thanks.
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
to stick to
paper.
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
-Original Message-
From: Bruce T LeGrand [mailto:[EMAIL PROTECTED]]
Sent: Thursday, May 30, 2002 8:42 AM
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Subject: RE
.
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
-Original Message-
From: Koller, Greg [mailto:[EMAIL PROTECTED]]
Sent: Thursday, May 30, 2002 1:56 PM
To: 'Mimi Hart'; [EMAIL PROTECTED]; Koller, Greg; [EMAIL PROTECTED
William,
Another minor twist to your last comments about claims being submitted
to the local BCBS of the subscriber. Not all BCBS belong to the ITS
process where claims are routed between BCBS. There is a possibility a
BCBS claim between BCBS could be rejected.
Regards,
David Frenkel
Business
Here is another followup
story:
http://techupdate.zdnet.com/techupdate/stories/main/0,14179,2861785,00.html
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in
Ecommerce Tools
www.gefeg.com
425-260-5030
-Original Message-
From: dalegibbs
to
political pressure.
There has been plenty of discussion of certification but it comes back
to the question whom is going to do the certification?
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
-Original Message-
From: William
Interesting article about IBM announcement regarding ebXML.
http://techupdate.zdnet.com/techupdate/stories/main/0,14179,2861528,00.h
tml
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
Doug,
What is your guesstimate of the percentage of large providers that do
directly send you electronic claims? Maybe use the 80/20 rule, the 80%
of your overall claims volume. Thanks.
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425
It has also been known to happen that a clearinghouse would send a claim
to the wrong payer. What would be the procedure for handling this?
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
-Original Message-
From
might be
on this listserv and maybe they can add some comments.
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
-Original Message-
From: William J. Kammerer [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, April 03, 2002 9:32 AM
on a separate system
from their claims.
I don't intend to downplay the importance of real time issues but maybe
it can be a secondary issue for now.
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
-Original Message-
From
(AHA). For tax reasons they would probably want to place these
fines on the books of the hospitals involved.
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
-Original Message-
From: Christopher J. Feahr, OD [mailto:[EMAIL
. In
recent years, the Madison, Wis.-based insurer has added Illinois,
Michigan and Minnesota to its Medicare rolls, which in turn has led to a
leap in annual claims, from the $840 million it was processing in 1997
to a little more than $7 billion last year.
Regards,
David Frenkel
Business
Rachel,
It was mainly just informational but large players often have unique
insights and it would be interesting to get their input in these
discussions.
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
-Original Message
An organization can have many FTIN's especially if they are multi-state.
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
-Original Message-
From: Christopher J. Feahr, OD [mailto:[EMAIL PROTECTED]]
Sent: Thursday, March
required you to have a DUNS number.
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
-Original Message-
From: Christopher J. Feahr, OD [mailto:[EMAIL PROTECTED]]
Sent: Thursday, March 28, 2002 9:02 AM
To: David Frenkel
I spoke to a Fortune 100 company that is sending HIPAA compliant
employee benefit enrollments (834) to its health plans. None of the
health plans is requiring trading partner agreements (TPA's).
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
Ron,
I don't think the TPA process works well today given that every legal
department has a different flavor and it is a legal contract. Many legal
departments may not want to loose control over this.
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
no shortage of lawyers and it is not an easy comparison to selling
donuts. I know of a large medical device company that has a law firm as
their HIPAA consultants.
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
-Original Message
. There is plenty of precedence of congress delegating
rule writing authority to federal agencies constitutional or not.
Regards,
David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
-Original Message-
From: William J. Kammerer [mailto
Kepa,
Roughly 25% of all Americans get assistance from Medicaid or Medicare.
As much as Americans want the government out of their lives it is the
fabric of our country.
Regards,
Dave Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030
There is an article published by MA Health Data Consortium, 'Internet Would
Speed Public Health Response in the event of Bioterrorism'
www.mahealthdata.org . It talks about public health reporting 'consistent
with
HIPAA security and transaction standards'.
This SNIP routing effort might have to
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