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Re: HIPPA - 834 ENROLLMENT TRANSACTION
Only employers generally enroll their employees in a health plan. And
the HIPAA TCS rule doesn't require any employer - even if it is a HIPAA
covered entity in other roles - to use the HIPAA standard 834. A plan
might, as a business consideration, require employers to enroll using
the 834, though - but HIPAA doesn't mandate it. Mike should simply ask
the Third Party Administrator who administers his company's health plan
what he should do. His company's HR department can probably continue
enrolling employees the same way they've been doing all along. There's
no reason to go rushing off looking at 834 implementation guides or
looking for work to do.
William J. Kammerer
Novannet, LLC.
Columbus, US-OH 43221-3859
+1 (614) 487-0320
----- Original Message -----
From: "Lou Bedor" <
To: < <
Sent: Monday, 28 April, 2003 04:01 PM
Subject: Re: [EDI-L] HIPPA - 834 ENROLLMENT TRANSACTION
Added note upon re-reading. You don't, in HIPAA terms, enroll - use an
834 transaction with a provider. You enroll with a health plan. Health
plans are required to accept compliant 834 enrollments from any of their
clients - employers to payer. It gets complicated if your company is
also the plan - that is self-insured for health benefits.
LouB
Lou Bedor wrote:
----- Original Message -----
From: "Lou Bedor" <
To: <
Cc: <
Sent: Monday, 28 April, 2003 03:26 PM
Subject: Re: [EDI-L] HIPPA - 834 ENROLLMENT TRANSACTION
Yes and no. If you are a covered enitity then yes; if you are not, then
no.
According to HIPAA, a covered entity is
1) a health care provider that conducts certain transactions in
electronic form
2) a health care clearinghouse or
3 ) a health plan
For a good reference go to the following URL - it is very useful
http://cms.hhs.gov/hipaa/hipaa2/
There are also several groups concerning HIPAA. One you can join is
http://www.hipaalive.com
LouB
----- Original Message -----
From: "Mike Rudolph" <
To: <
Sent: Monday, 28 April, 2003 03:11 PM
Subject: [EDI-L] HIPPA - 834 ENROLLMENT TRANSACTION
I have seen some inquiries on the list regarding the 834 for HIPPA. Is
it true that a company offering health care plans for its employees must
send the 834/Enrollment transaction to providers by October 2003? If so,
where can I find more information about this topic and where are
downloadable implementation specs located?
Thanks,
Mike Rudolph - EDI Coordinator
Green Bay Packaging Inc.
Phone: 920.433.5426
Fax: 920.438.5426
Email:
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