Paperfree (w/ 'HIPAA toolkit').
-----Original Message----- From: Cynthia Korman [mailto:[EMAIL PROTECTED]] Sent: Thursday, June 27, 2002 9:05 AM To: [EMAIL PROTECTED] Subject: Re: 277 STC at Subscriber level What translator are you using? C ----- Original Message ----- From: "Lachenmayer, Michael" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Thursday, June 27, 2002 8:58 AM Subject: RE: 277 STC at Subscriber level > > Hal, > > I agree with your reading of the IG regarding usage of the STC, but, > unfortunately, am not able to control how the IG has been interpreted by > third parties. Both our EDI translator and the third party web application > we will use for certification have built the rules using a strict reading of > the "REQUIRED" in the guide, without consideration of the notes. > > I expect this is the sort of issue that will be worked out during testing > with an outside entity. > > > > -----Original Message----- > From: Hal Scoggins [mailto:[EMAIL PROTECTED]] > Sent: Wednesday, June 26, 2002 2:41 PM > To: [EMAIL PROTECTED] > Subject: RE: 277 STC at Subscriber level > > > Michael, > > Regarding the TRN and DMG segments, we coded to the addendum, assuming it > will be effective by the deadline date. > > The way I read the IG, the STC is not required at the Subscriber level if > the Subscriber is not the Patient. I'm looking at note #1 on IG page 154. > Granted that, technically, the Usage should have been changed to > SITUATIONAL, as the TRN was. But the note lets us off the hook, IMO. In > short, we're treating the STC at the Subscriber level as SITUATIONAL. > > BTW, my copy of the addendum adds a note to the DMG segment (addendum page > 19, replacing original IG page 148), as well as changing the Usage, letting > us off the hook there. Is your copy different? > > Hal Scoggins > SBPA Systems, Inc. > (281) 679-7272 x116 > > -----Original Message----- > From: Lachenmayer, Michael [mailto:[EMAIL PROTECTED]] > Sent: Wednesday, June 26, 2002 11:40 AM > To: '[EMAIL PROTECTED]' > Subject: 277 STC at Subscriber level > > > > The 4010 guide for the 276/277 has various segments on the 277 required at > the subscriber level, even if the claim is not for the subscriber. Examples > are the DMG, TRN, and STC. This is in conflict with note at the end of > section 2.2.3.1.1 (pg 27), which says that claim related information should > 'float', being placed at the level of the patient to whom the claim applies. > > While 4010a fixes this problem for the DMG and TRN (though the DMG change is > not identified!), it does not change the STC requirement. How are you > handling this requirement, especially in the instance where you have more > than one dependent for the same subscriber, each with a claim with its own > status? Or one dependent with multiple claims, each with its own status. > Are there generic status and category codes which can be used at the > subscriber level? > > Thanks for you help. > > > Michael Lachenmayer > Independence Blue Cross > Ph: (215) 241-9453 > Fx: (215) 241-4134 > > > > > > > CONFIDENTIALITY NOTICE: This E-Mail is intended only for the > use of the individual or entity to which it is addressed and > may contain information that is privileged, confidential and > exempt from disclosure under applicable law. > If you have received this communication in error, please > do not distribute and delete the original message. > Please notify the sender by E-Mail at the address shown. > Thank you for your compliance. > > > ********************************************************************** > 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. > > CONFIDENTIALITY NOTICE: This E-Mail is intended only for the > use of the individual or entity to which it is addressed and > may contain information that is privileged, confidential and > exempt from disclosure under applicable law. > If you have received this communication in error, please > do not distribute and delete the original message. > Please notify the sender by E-Mail at the address shown. > Thank you for your compliance. > > > ********************************************************************** > 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. CONFIDENTIALITY NOTICE: This E-Mail is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you have received this communication in error, please do not distribute and delete the original message. Please notify the sender by E-Mail at the address shown. Thank you for your compliance. ********************************************************************** 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.
