Jonathan are talking about validating before it enters your adjudication system or once it is in? We validate the subscriber before but the dependents are not validated until the claim is in our claim payment system then it is compared to our "Family Registar screen " which holds all members covered under the subscribers contract.
Mike Winston Business Systems Analyst Trigon ISD Ph (804) 354-4521 Fx (804) 678-0452 [EMAIL PROTECTED] This message, including files attached to it, may contain confidential information that is intended only for the use of the ADDRESSEE(S) named above. If you are not the intended recipient, you are hereby notified that any dissemination or copying of the information is strictly prohibited. If you have received this message in error, please notify the sender immediately and delete the message from your system. Thank you. > -----Original Message----- > From: Jonathan Fox [SMTP:[EMAIL PROTECTED]] > Sent: Wednesday, June 26, 2002 1:12 PM > To: [EMAIL PROTECTED] > Subject: Data Validation > > Now that HIPAA requires transactions to contain both subscriber and > patient information (when they're not the same), are entities expected / > required to validate that information? In theory, it would be a good > idea to do that, but it certainly presents some obvious concerns (i.e. > misspelled names, incorrect dob's, providers not having that information > at all). > > All thoughts on this issue are welcome!!!! > Thanks. > > Jonathan Fox > Co-Chair > WNYHealtheNet Consortium > > CONFIDENTIALITY NOTICE. This e-mail and attachments, if any, may > contain confidential information which is privileged and protected from > disclosure by Federal and State confidentiality laws, rules or > regulations. This e-mail and attachments, if any, are intended for the > designated addressee only . If you are not the designated addressee, > you are hereby notified that any disclosure, copying, or distribution of > this e-mail and its attachments, if any, may be unlawful and may subject > you to legal consequences. If you have received this e-mail and > attachments in error, please contact Independent Health immediately at > (716) 631-3001 and delete the e-mail and its attachments from your > computer. Thank you for your attention. > > > > ********************************************************************** > 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. > > ====================================================== > The WEDI SNIP listserv to which you are subscribed is not moderated. The > discussions on this listserv therefore represent the views of the > individual participants, and do not necessarily represent the views of the > WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official > opinion, post your question to the WEDI SNIP Issues Database at > http://snip.wedi.org/tracking/. > Posting of advertisements or other commercial use of this listserv is > specifically prohibited. ********************************************************************** 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. ====================================================== The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. Posting of advertisements or other commercial use of this listserv is specifically prohibited.
