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MAMSI > Health Care Professionals
Our health plans will accept HIPAA non-compliant
electronic transactions after October 16, 2003
MAMSI Health Plans has prepared for implementation
of the HIPAA electronic transactions and code set standards by installing
translator software and testing the acceptance of HIPAA compliant
in-bound and out-bound health care transactions with electronic
claims clearinghouses, health care practitioners and facilities
(our "EDI partners"). Moreover, we have validated our
readiness through testing with a HIPAA certification service.
While we are confident that our electronic claims
processing system will be able to accept HIPAA compliant in-bound
and out-bound transactions as of October 16, 2003, some of our EDI
partners may need additional time to comply with these very complex
regulations. Consequently, as long as our EDI partner demonstrates
a good faith effort to come into HIPAA compliance, our health plans
will accept non-HIPAA compliant electronic claims after October
16, 2003. If an EDI partner needs additional time, the EDI partner
will need to give us sufficient assurance that in-bound and out-bound
transactions will be HIPAA-compliant within a reasonable period
of time.
Because our health plans will accept non-HIPAA compliant claims
for a transitional period of time, no changes will be made to our
claims processing business practices.
Our HIPAA
EDI Guide provides important information about HIPAA transactions
and code sets for our health plans. This guide is technical in nature
and is intended for use by electronic claims clearinghouses, as
well as health care practitioners and facilities who submit electronic
claims directly to our health plans. Please
click here to view and print the Guide.
Please
click here to view our responses to frequently asked HIPAA EDI questions.
If you have any additional questions about how to begin testing,
compliance with the HIPAA electronic transactions and code set requirements,
please contact:
| EDI testing: |
Janet Butler
jbutler@mamsi.com
301-360-8739 |
| Compliance questionnaires and general
questions: |
Maryland, Virginia, D.C.,
West Virginia, Pennsylvania,
Delaware:
|
April Toney
atoney@mamsi.com
(301) 360-8179 Professional Services Department
(800) 342-6141
|
| North Carolina: |
Curtis Smith
csmith@mamsi.com
(919) 281-7125 Professional Services Department
(800) 257-6458
|
| Alliance PPO, LLC: |
Mike Petruzzello
mspetruzzello@mamsi.com
(240) 379-1077 Meg Evans
mevans@mamsi.com
(301) 545-5310
|
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* To view and print these forms, you will need a copy of Adobe
Acrobat Reader, which is available free at www.adobe.com.
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