Susan
See below for the 837 professional:

"Scardina, Susan" wrote:

> Has anyone found fields in the 837I, 837P, and 837D (at the service line,
> not the claim header) to map the following information?
>
>         - The other carrier allowed amount

Page 334 for claim level.  This can also be calculated from the CAS.

>
>         - The other carrier paid amount

Page 332 for claim level.  See SVD02, page 55 for this amount at the line level.

>
>         - The other carrier deductible amount

This must be calculated from the CAS information.  See code "1-Deductible".

>
>         - The other carrier ineligible amount

This must be calculated from the CAS. There are various codes that would apply.

Hope this helps.

Jan Root

>
>
> Thanks,
>
> Susan Scardina
> Product Manager
> TriZetto
>
>
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