A HEALTHCARE INDUSTRY EDI AND HIPAA COLLABORATIVE EVENT

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1 A HEALTHCARE INDUSTRY EDI AND HIPAA COLLABORATIVE EVENT PacifiCare is gathering payers, governmental officials and vendors together for what promises to be an informative and educational day of discussion regarding Electronic Data Interchange (EDI) healthcare industry facts in Scottsdale, Arizona. The purpose of this event is to inform our provider community of current EDI transactions available and offer (via vendor partners) a way to engage in EDI activity. Our goal is to educate the provider community about EDI and to ultimately increase EDI submission rates. No longer the wave of the future, EDI is the reality of today. EDI continues to be the preferred method of transaction submission to all health insurance payers. With the introduction to the Health Insurance Portability Accountability Act (HIPAA) in 1996, and with the CMS enforcement requirements for the standardization of data you have now been introduced to a variety of EDI functionalities. PacifiCare has joined forces with UnitedHealthcare, Aetna, AHCCCS, Arizona Physician s IPA, Blue Cross Blue Shield of Arizona, CIGNA, Health Net, Humana, Noridian, Phoenix Health Plan, Center for Medicare and Medicaid Services (CMS), Arizona Department of Insurance and other leading healthcare industry partners to provide a collaboration of first hand knowledge, experience and lessons learned about the process of implementing EDI transactions with Trading Partners. Together we would like to continue to help you move into the EDI environment and achieve data standards compliance if you have not already done so. We also want to improve our EDI services to you and continue to service your needs in the most efficient manner. Throughout the course of the day, presenters will be discussing an array of topics regarding EDI to provide you with an understanding of their company s EDI implementation approach, implementation challenges and goals for (See the Seminar Topics of Discussion for further details.) This event is FREE to the provider community! It is a fully sponsored event, brought to you by PacifiCare, Electronic Network Services (ENS) and UnitedHealthcare (UHC) and other healthcare leaders (see list below). A final list of sponsors will be provided the day of the event. Date: Wednesday, June 29, 2005 Time: Location: Attendees: How to Register: Sponsors: Registration begins at 7:00 a.m. Conference is 8:30 a.m. 5:00 p.m. During registration, vendors will be on-site displaying their products and services which could assist you with EDI submissions & HIPAA Data Standards compliances. Doubletree Paradise Valley Resort 5401 North Scottsdale Road Scottsdale, Arizona Tel: The medical provider community. Complete the REGISTRATION FORM (below) and return to PacifiCare. Seating is limited! UnitedHealthcare, ENS, Aetna, Availity, Arizona Physician s IPA, Bowman Interface Technologies, CIGNA, Claredi, The Data Systems Group, Gateway EDI, Glaxo Smith Kline, Health Net, Humana, Johnson & Johnson, K&R Law Group, LabCorp, Office Ally, PrimeStaff, ProxyMed, Serenity Hospice, SSI, THIN, WebMD, WNS HealthClaims and Zirmed. Page 1 of 5 06/08/05

2 Company Address Tax ID Phone ( ) - Address City State Zip Code Fax ( ) - CONFERENCE REGISTRATION FORM Attendees: There is no fee for providers to attend. Participants will be registered by their last name/first name. If more than 3 people from your office are attending, please copy this form and complete it with the additional attendee information. Seating is limited. 1 st Registrant 2 nd Registrant 3 rd Registrant Registration must be completed and received no later than Wednesday, June 22, 2005 MAIL or FAX this completed registration form to: PacifiCare Attention: Millie Lara, CY Katella Avenue, Cypress, CA Fax # (714) For registration questions, please call (800) Or to register on line: 1. Go to the Healthcare Industry Partners collaborative portal at 2. Create an account by registering (see left navigation Need an account? Register ) by selecting Register". Navigate through the registration screens, only populating required fields (*). An with your temporary username and password will be sent to you immediately. 3. You can now sign in to register with your new user name and password (see left navigation to enter username and password). Confirm your Organization Profile by checking the box in item 1 labeled Profile Confirmation, and then select the next button. 4. You are now logged into the site to begin Registering for this event. Select "Click Here to Register Online in the middle of the web page. Complete the registration survey which is the registration form. Submit your questions by clicking the "Submit Questions Before the Conference" link on the left side of web page. Note: Each attendee must register separately. Page 2 of 5 06/08/05

3 Seminar Topics of Discussion Below are topics addressed throughout the course of the conference: Keynote Presenter: 1) Current Status of HIPAA a) View from Baltimore - published regulations, enforcement processes, upcoming regulations b) Real World View - implementation status, enforcements statistics 2) Benefits of full compliance 3) Future e-health activities 4) Role of health plans 5) Role of vendors 6) What should providers be doing Payers: 1) EDI Implementation - A, B, Cs a) Automate Your Paper Process by Submitting Claims Electronically b) Beginning Processes of Submitting via EDI c) Connectivity Options 2) EDI Growth Strategy 3) EDI Support 4) Company Goals for EDI in 2005 Where We Stand and Where We Need to Be a) Emerging EDI Technologies (i.e., bulletin boards, EDI over the Internet, attachment options, etc.) 5) 2005 EDI Process Improvements 6) HIPAA Migration Progress a) Available Transactions b) Contingency Plans If you are submitting electronic claims and you are not yet HIPAA compliant, have you submitted a contingency plan to the Payers? c) Trading Partner Agreements d) Covered Entities vs. Business Associates e) Availability of Companion Guides f) Testing Process i) EDI Contact ii) Transaction Certification g) WEDI Levels of Compliance h) Upcoming HIPAA Transactions i) Unsolicited 277, Document Attachments, NPI, 835 EFT, EHR etc. Vendors: 1) Company Goals for EDI Where We Stand and Where We Need to Be 2) EDI Achievements 3) EDI Process Improvements 4) Percentage of Providers Submitting via X12 vs. Percentage of Providers Submitting Proprietary Formats 5) Percentage of X12 Transactions Meeting 100% Compliance 6) Compliance Challenges 7) Gap Filling a) What percentage of transactions are being gap filled to allow the transaction to be compliant? b) Plans to Improve Gap Fill Percentage 8) Upcoming HIPAA Transactions a) Unsolicited 277, Document Attachments, NPI 9) Application of New and Emerging EDI Technologies 10) All Payer Solution Page 3 of 5 06/08/05

4 Tentative Agenda for Wednesday, June 29, 2005 TIME AGENDA ITEM SPEAKER 7:00 am 8:30 am Registration Visit Vendor Exhibits in the Forum Room 8:30 am 8:40 am Welcome and Introduction PacifiCare 8:40 am 9:25 am Keynote Message Stanley Nachimson Senior Technical Advisor Office of HIPAA Standards, CMS 9:25 am 9:55 am PacifiCare Timothy Peterson Manager, Enterprise EDI Services 9:55 am 10:15 am Noridian (Medicare Part B) Marie Hawken, CPC Team Leader 10:15 am 10:45 am UnitedHealthcare Steve Morelli National Sales Director, Provider esolutions 10:45 am 11:00 am BREAK Visit Vendor Exhibits in the Forum Room 11:00 am 11:15 am WebMD Andy Hiett Vice President Payer Services 11:15 am 11:30 am CIGNA Tiffany Francis and Brenda Fielder Provider Services 11:30 am 11:45 am Office Ally Brian O Neill President and Chief Executive Officer 11:45 am 12:00 pm Humana Janna Meek National Director, Provider Connectivity Services 12:00 pm 1:00 pm LUNCH Visit Vendor Exhibits in the Forum Room 1:00 pm 1:25 pm Re-Group Remarks 1:25 pm 1:45 pm Arizona Department of Insurance Audrey Franklin Compliance Analyst 1:45 pm 2:15 pm ENS Dean Politi Senior Vice President, Payer Services 2:15 pm 2:30 pm Claredi Lee B. Barrett Chief Executive Officer 2:30 pm 2:45 pm Aetna Marcy Baker ehealth Implementation Consultant 2:45 pm 3:00 pm BREAK Visit Vendor Exhibits in the Forum Room 3:00 pm 3:15 pm MD Connects Blaine Bergeson President and CEO 3:15 pm 3:30 pm BlueCross BlueShield of Arizona 3:30 pm 3:45 pm WNS HealthClaims Craig Serio President and CEO 3:45 pm 4:00 pm TriWest Healthcare Alliance Terri Mahler EDI Manager 4:00 pm 4:15 pm Availity Dan Chavez Gene A. Carruth Vice President E-Commerce Services Division Senior Vice President, Operations 4:15 pm 5:00 pm Payer & Vendor Panel Q&A All Session 5:00 pm Closing Comments PacifiCare Page 4 of 5 06/08/05

5 Given the limited amount of time for our panel to answer questions, we ask that you pre-submit any question(s) that you may have for our payer/vendor panel. Please complete and return this with your registration form. Q & A Form Company : Contact Telephone ( ) - Contact Please circle the entity to which your question is directed: Question 1: Question 2: Question 3: If you have more than three questions, please copy this form and submit additional questions with your registration. Page 5 of 5 06/08/05