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Re: 837 Medical Claims question
Leah, let's not make this any scarier than it has to be. There are no
"jail terms" imposed for not following the HIPAA standard EDI
guidelines. There's the possibility of fines, though, for health care
payers (i.e., insurance companies) who jack around with providers
(doctors and hospitals) by rejecting out-of-hand their otherwise
compliant standard health care claims. And that appeals to my sense of
justice.
Your suggestion that Karen sign up for the WEDI-SNIP listserves is
excellent. I would suggest that she at least register for the WEDI
Business Issues Subworkgroup List and the WEDI SNIP Transactions
Workgroup List at http://subscribe.wedi.org/.
William J. Kammerer
Novannet, LLC.
Columbus, US-OH 43221-3859
+1 (614) 487-0320
----- Original Message -----
From: "Leah Halpin" <
To: < "kbrasier2003" <
Sent: Wednesday, 30 July, 2003 11:00 AM
Subject: Re: [EDI-L] 837 Medical Claims question
Karen,
All 837 claims MUST BE HIPAA compliant per government regulation. There
are fines and jail terms for not following HIPAA guidelines. My
suggestion would be, since you have such a tremendously short deadline
(Oct 16), is to follow HIPAA guidelines strictly. This is a little
difficult, as they are somewhat confusing and HUGE, but, all people
accepting 837's and sending them must be able to send/receive HIPAA
compliant documents per law. The HIPAA guidelines are available at
www.edi-wpc.com, free in .pdf format, for a fee (hefty) in paper form.
The 837 is two books, approx 800 pages. I might also suggest joining
the wedi-snip listservs to see if they can be of any help, the url is
http://www.wedi.org/. I wish you all the luck in the world.
Leah
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