Re: TP EDI Enabled ?

["Peter D. Pruyne" <pdp@mcs.net>]

On 16 Jan 2001, at 20:49, William J. Kammerer wrote:

> Dear David:
>
>
...snip..

Many insurers have claim acceptance done through
clearinghouses, and therefore might not want (or perhaps even
have) direct destination information to be published.  Goverment
agencies use a similar arangement (DOD comes to mind) and
might have similar concerns.

>
> And when I say legitimate, I don't necessarily mean "known," either:
> in Health Care, a provider (doctor or clinic, say) might not be known
> to a particular payer (e.g., Insurance company). But they have a
> legitimate need to submit a claim to that payer, without any
> preexisting trading partner agreement in effect - though HIPAA '96
> provides the legal infrastructure. As long as the doctor is a
> recognized submitter (because she's accredited, or affiliated with an
> accredited hospital - all vouched for by some CA in the certificate
> chain of trust), the insurance company has to take the claim.
> Burdening the provider with manually tracking down somebody who can
> set her up to submit electronic claims defeats the whole purpose of
> open-EDI.
>
> William J. Kammerer
> FORESIGHT Corp.
> 4950 Blazer Memorial Pkwy.
> Dublin, OH USA 43017-3305
> +1 614 791-1600
>
> Visit FORESIGHT Corp. at http://www.foresightcorp.com/
> "Commerce for a New World"
>
>
> ----- Original Message -----
> From: David RR Webber <Gnosis_@compuserve.com>
> To: William J. Kammerer <wkammerer@foresightcorp.com>
> Cc: ebXML Repository <ebxml-regrep@lists.ebxml.org>; EDI-L Mailing
> List <EDI-L@LISTSERV.UCOP.EDU> Sent: Tuesday, January 16, 2001 6:04 PM
> Subject: Fw: TP EDI Enabled ?
>
>
> Message text written by "William J. Kammerer"
> >
>    Surely, a powerful, omnipotent and all-encompassing registry
>    and repository ("Oz"), which can track down all the plumbers
>    in Cleveland, Ohio (to take one of the examples in a RegRep
>    e-mail) or tell me who will sell me car stereos and does
>    Rosetta Net PIP3A4 (a use case in ebXML Registry Services
>    Version 0.82), could do something as simple as giving me the
>    public key, the HTTP URL or SMTP e-mail address for the MSH,
>    and other miscellany of my partner -  assuming I can give it
>    a list of IDs on which it can search.
>
> The "EDI Yellow Pages" Taylor refers to is touched upon in my original
> diatribe "Registry/Repository questions and comments," at
> http://lists.ebxml.org/archives/ebxml-regrep/200101/msg00048.html.
>
> <<<<<<<<<<<<<<<<
>
> William,
>
> I would humbly submit that it would only do some.  However it would
> give you a public email address to whom you could address the query.
>
> The information in this area seems to me to span business
> confidential as well as business public.  The registry can only
> deal with business public.
>
> DW.
>
>
>




PDP