WCIS eNews No. 62
September 21, 2006
Medical bill reporting variance request update
As stated in today's California EDI medical task force teleconference, any claims administrator who is unable to submit the data elements 516 (total amount paid per bill) and 574 (total amount paid per line) pertaining to zero payments and unbundled lien payments should file for a six month partial variance pursuant to regulation section 9702 (a)(1). The variance request must be submitted by Sep. 22, 2006. Please set forth as much information as possible at this time and indicate that the plan will be amended within the next six months. The division will continue to work with the trading partners to develop a plan to help the claims administrators comply with the reporting requirements. Please also note that section 9702(a)(3) provides "A claims administrator granted a variance shall submit to the WCIS all data elements that were required to be submitted under subdivision (e) during the variance period except for data elements that were not known to the claims administrator, the claims administrator's agents, or not captured on the claims administrator's electronic system."
A variance request checklist can be downloaded at http://www.dir.ca.gov/DWC/WCISenews/MedicalBillReportingVarianceRequestChecklist.pdf.
Please email David Henderson at email@example.com
or Bill Kahley at firstname.lastname@example.org
with any questions regarding the variance request.
Trading partner letters C, G, H, M, P-R
Trading partner letters B, D-F,
N, O, W-Y
Trading partner letters A, I-L,
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