I am interesting in how other payers are approaching trading partner compliance testing. We are reviewing our options and wonder what others are planning. The approaches under review are:
1. Do passive compliance testing. We are building translation processes around the HIPAA standards. Therefore, any trading partner's test file that translates successfully is likely compliant. 2. Do active compliance testing in-house. We could setup a separate testing process using the capabilities of our translator or separate EDI testing software. Once the file passed our compliance testing we could test it for business rules and adjudication results in our EDI test environment. 3. Contract with a testing service to perform the HIPAA compliance testing (ENHAC, Claredi, or Foresight.) We would not run the trading partner's file into our EDI test environment until the testing service OKed it. 4. Require our trading partners to obtain compliance certification before they can test with us. This could be a testing service's or another payer's acceptance. 5. Don't worry about compliance testing. This is a submitter responsibility and the Medicare payers are starting testing soon. Let the Medicare fiscal intermediaries spend the time and money to educate the providers. Robert Barclay EDS - Wisconsin Medicaid HIPAA Team [EMAIL PROTECTED] (608) 221-4746 x3323 ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
