My opinion is that you are a business associate of the health plan, which
has outsourced this function to you to perform on their behalf. Best course
of action is for you to confirm this with your company's legal counsel AND
the legal counsel of the health plan for which you perform these services.

Rachel Foerster
Principal
Rachel Foerster & Associates, Ltd.
Professionals in EDI & Electronic Commerce
39432 North Avenue
Beach Park, IL 60099
Phone: 847-872-8070
Fax: 847-872-6860
http://www.rfa-edi.com


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
Sent: Monday, June 24, 2002 9:45 AM
To: [EMAIL PROTECTED]
Subject: A Clearinghouse By Any Other Name ...




Would anyone here have an opinion of "what type of entity",  from a

HIPAA Transaction Rule perspective, the following operation could be

categorized?



I have an operation that receives; on behalf of a HEALTH PLAN, paper claims

from the PLAN's health care PROVIDERS (doctors, hospitals, etc.).



We then take the paper claims; scan them into an imaging system, key the

claims into our own claims processing software system (off the scanned image

of the paper claim), adjudicate the claim, cut the paper check and EOB

and/or ERA and mail.



The submitting providers; and the payee's on the backend have no knowledge

of us.  The checks bear the logo/address/signature of our health plan

clients.



And the address where the paper claims are mailed have the name of our

health plan clients; with a PO Box that we set up; and from which we collect

the inbound mail.



Question: does this make us a "CLEARINGHOUSE"?  [I had, naively perhaps,

assumed that a "HIPAA defined clearinghouse" was one that reformatted data

from a non-HIPAA standard format to a HIPAA standard format or vice-versa;

and I had assumed that the media on both sides of this are electronic - but,

when I look at the definition below; perhaps the rule applies to "paper" as

a 'non-HIPAA standard format' as well.].







Definition below for convenience - from the WEDI/SNIP Glossary



Health Care Clearinghouse: Under HIPAA, this is an entity that processes or

facilitates the processing of information received from another entity in a

nonstandard format or containing nonstandard data content into standard data

elements or a standard transaction, or that receives a standard transaction

from another entity and processes or facilitates the processing of that

information into nonstandard format or nonstandard data content for a

receiving entity. Also see Part II, 45 CFR 160.103.



Henry A Perretta

HAPCO International, LLC

6302 Dunman Way

Alexandria,VA, 22315




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