s between the (various) parties.
William J. Kammerer
Novannet, LLC.
+1 (614) 487-0320
- Original Message -
From: "Ronald Bowron" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, 26 February, 2002 12:48 AM
Subject: RE: Requirements Gathering - Information Flows
t Creek, CA
(925) 941-2240
-Original Message-
From: Rachel Foerster [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, February 26, 2002 8:04 AM
To: [EMAIL PROTECTED]
Subject: RE: Requirements Gathering - Information Flows
Ron,
Thanks. I've been trying to get the message across that a system
erchanges
These are vastly different.
Rachel
-Original Message-
From: Ronald Bowron [mailto:[EMAIL PROTECTED]]
Sent: Monday, February 25, 2002 11:48 PM
To: [EMAIL PROTECTED]
Subject: RE: Requirements Gathering - Information Flows
I'd like to see if we can get some clarification arou
I'd like to see if we can get some clarification around the different
business processes that occur before a HIPAA transaction occurs. This
may help clear up many of our issues regarding routing, addressing and
TPA's.
This is where I believe Rachel was trying to leverage the UML and
business req
Gloria,
I've looked at the flow you propose, and am researching with our payer
entity whether or not we have the same situation here (I suspect that we
do). It'll help me with the response if I can interpret from the manual
processes we presently follow.
For the P-->T-->R-->P, you are correct tha
t, and each would finally be distributed to the originating
application for automatic processing.
Dave Minch
T&CS Project Manager
John Muir / Mt. Diablo Health System
Walnut Creek, CA
(925) 941-2240
-Original Message-
From: William J. Kammerer [mailto:[EMAIL PROTECTED]]
Sent: Friday, Fe
inch" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Thursday, 14 February, 2002 02:19 PM
Subject: RE: Requirements Gathering - Information Flows
Here's a first cut at the paths we traverse today whether in paper form,
phone, or electronically (I've probably m
MAIL PROTECTED]]
Sent: Thursday, February 14, 2002 1:20 PM
To: '[EMAIL PROTECTED]'
Subject: RE: Requirements Gathering - Information Flows
Here's a first cut at the paths we traverse today whether in paper form,
phone, or electronically (I've probably missed a few - I'll keep
Here's a first cut at the paths we traverse today whether in paper form,
phone, or electronically (I've probably missed a few - I'll keep checking):
I'm going to use a coding scheme to make it quicker to do these:
P=Provider
A=pAyer (endpoint that creates the EOB)
E=Employer
T=Third party adminis
:[EMAIL PROTECTED]]
Sent: Wednesday, February 13, 2002 3:18 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Cc: Christopher J. Feahr OD
Subject: RE: Requirements Gathering - Information Flows
Bruce,
I dont think any of the terms I'm proposing to define for this paper are in
the existing WEDI glossary
Bruce,
I dont think any of the terms I'm proposing to define for this paper are in
the existing WEDI glossary, but if they are, I agree that we should adhere
to the established definition. We may want to propose adding out new terms
to the WEDI glossary when we are finished, but in either case
odification to an existing one?
Rachel
-Original Message-
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, February 13, 2002 12:02 PM
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: RE: Requirements Gathering - Information Flows
Chris --
I would sugg
<[EMAIL PROTECTED]>
Subject: RE: Requirements Gathering -
02/12/2002 Information Flows
;William
> J.
> Kammerer" To: "WEDi/SNIP ID &
> Routing"
>
>
> annet.com>cc:
>
> Subject: RE: Requirements
> Gatheri
annet.com>cc:
Subject: RE: Requirements Gathering -
02/10/2002Information Flows
I asked Chris Feahr Saturday: "So, who else's ID - other than the
payer's - would be in the ISA receiver field?" when "standard
transactions go from provider to payer, unmolested..."
The exchange below, on HIPAAlive, from Ken Fody, answers the question.
A self-funded employer group health would b
>From: Christopher J. Feahr, OD [mailto:[EMAIL PROTECTED]]
>Sent: Saturday, February 09, 2002 5:42 PM
>To: [EMAIL PROTECTED]
>Subject: Re: Requirements Gathering
>
>
>Hi Rachel,
>I would be glad to begin working on a draft list of specific terms and
>definitions for
glossary?
Rachel
-Original Message-
From: Christopher J. Feahr, OD [mailto:[EMAIL PROTECTED]]
Sent: Saturday, February 09, 2002 5:42 PM
To: [EMAIL PROTECTED]
Subject: Re: Requirements Gathering
Hi Rachel,
I would be glad to begin working on a draft list of specific terms and
definitions
Would it be useful to employ concrete examples from the HIPAA IGs? If
so, perhaps we could start by asking what to do with the Eligibility
Benefit Inquiry and Response (270/271) transaction sets. Not knowing
any better, I would surmise these are commonly the first transactions
used in a typical
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