Are there HIPAA compliant billing code requirements for electronic claims submissions?
A. Yes. Effective October 16, 2003, all electronic claims submissions must include HIPAA compliant billing codes (ICD-9-CM codes) in order to be processed. ———————————————– and….from another news article: “Second, as has already been announced by Aetna, most health insurance organizations will be requiring their providers to file reimbursement claims electronically. Paper reimbursement claims will no longer be accepted. Aetna is the first major insurance carrier to announce that they will not accept paper claims after Sept. 15, 2003. Although it is earlier than the expected date, public and private insurance system is expect to make the same announcement with different complying date. Therefore, if your practice currently does not transfer information electronically, starting October 16, 2003 you will have to.” and from Aetna’s release… “Aetna is the first major private insurance carrier to mandate HIPAA compliance. Effective September 15, 2003, you w
A. Yes. Effective October 16, 2003, all electronic claims submissions must include HIPAA compliant billing codes (ICD-9-CM codes) in order to be processed. Second, as has already been announced by Aetna, most health insurance organizations will be requiring their providers to file reimbursement claims electronically. Paper reimbursement claims will no longer be accepted. Aetna is the first major insurance carrier to announce that they will not accept paper claims after Sept. 15, 2003. Although it is earlier than the expected date, public and private insurance system is expect to make the same announcement with different complying date. Therefore, if your practice currently does not transfer information electronically, starting October 16, 2003 you will have to. On October 16, 2003 Medicaid and Medicare require all claims to be submitted electronically. Therefore, if you are not a cover entity now, by then you will be. If you do not want to submit claim electronically, you may not be ab