decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2002 / AB-02-133
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Article Overview
This article is a 2002 program memo aimed at organizations responsible for electronic billing vendor management and HIPAA transaction support. It explains a directory maintenance requirement for vendors in production for the X12N 837 Health Care Claim transaction, including what information must be listed, how often updates are expected, and the memo’s effective, implementation, and discard dates. It is relevant to billing, compliance, and EDI operations teams that track approved vendors and transaction production status.
Why This Topic Matters
It helps providers and billing organizations understand a HIPAA-related operational requirement for keeping vendor information current and accessible, which supports compliant electronic claims workflows and vendor oversight.
Article Sections
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Directory maintenance requirements
This section covers the general obligation to maintain and publish a directory of billing vendors that have been tested and are in production. It also notes the types of directory information that must be kept current.
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Effective and discard dates
This section identifies the memo’s effective and implementation timing and when the guidance may be discarded. It also indicates that the instructions are to be handled within existing operating resources.
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Contact information
This section provides a point of contact for follow-up questions about the memo.
What You Will Learn
- The operational purpose of the vendor directory requirement
- What general categories of vendor information the directory must contain
- How often the directory is to be updated
- The memo’s effective, implementation, and discard timing
- Where to direct follow-up questions
Who Should Read This
- Billing vendors
- Provider organizations
- EDI/clearinghouse teams
- Compliance staff
- Revenue cycle teams
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