In my mind each entities should pay for compliance of the messages they "send", even though the real benefit lies with the entity who receives the message.
I don't think that compliance testing has to be done "specific" to each trading partner relationship. I agree with what Robert Barclay writes: >It would appear the first level of responsibility lies with the creator of >the file. They must create a compliant transaction. The receiver of the >transaction just needs to identify compliance and reject it if >non-compliant. Ajay -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Christopher J. Feahr, OD Sent: Thursday, November 01, 2001 2:13 AM To: Robert Barclay; [EMAIL PROTECTED] Cc: Craig Steele Subject: Re: Who Pays for Compliance Testing? I have not seen a "rule" on this, but it seems that each covered entity would be obligated to undertake (and pay for) whatever testing it deemed necessary. If a big entity wants to "mandate" that all of its trading partners pass at a certain testing level with a particular certifying agency (probably a good idea), then the requesting/requiring party should probably pay. This would be similar to the concept used in deciding which party pays for a clearinghouse transaction... the one "requiring" the service. Regards, Chris At 11:45 AM 10/31/01 -0600, Robert Barclay wrote: >Who should pay for compliance testing, the transaction sender or the >transaction receiver? This assumes, of course, that a third party is >performing the testing. Both parties have legal and practical interests >in insuring the exchanged transactions are compliant. > >It would appear the first level of responsibility lies with the creator of >the file. They must create a compliant transaction. The receiver of the >transaction just needs to identify compliance and reject it if >non-compliant. In practice, however, payers in the claims world have a >vested interest in getting clean test 837 transactions. Large payers have >hundreds or thousands of claims trading partners to test by October >16. Compliance testing should clean up all but exchange management and >adjudication optimization testing issues for payers. > >So, once more who should pay for compliance testing? Kepa, or other >smart people, would you care to comment? > > > >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. Christopher J. Feahr, OD http://visiondatastandard.org [EMAIL PROTECTED] Cell/Pager: 707-529-2268 ********************************************************************** 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. ********************************************************************** 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.
