Raj,
I'm not seeing any traffic in "transactions" for a week, so possibly I fell 
off the list.  But I'm curious to know how many of these situations you 
have encountered: required data elements in the 837 that cannot be sent to 
a CH (or billing service, repricer, etc.) in a "1500" format.  I have heard 
that there are many fields that cannot be cross-walked between the CMS1500 
and the 837, but I have not actually combed through the standard looking 
for them.

I have a real concern for the tens of thousands of small providers with 
systems only capable of producing CMS1500 claims.  "Marrying" a 
clearinghouse would not seem to be a HIPAA solution for these folks unless 
they have enough basic HIPAA-awareness in their local OMS system to at 
least extract all the Required and Situational data elements from it.  If 
the OMS vendors don't get their collective acts together, I don't see how 
the doctors will be able to comply with any of this.

(SBR01 may just ve the tip of an ugly iceberg)

-Chris


At 06:06 PM 2/25/02 -0500, Thuppanna, Raj wrote:

>I have a question about the field SBR01 - Payer Responsibility Sequence
>Number Code in 837 (professional). This field indicates if the destination
>payer is a primary, secondary or tertiary.
>
>This is a unique scenario where we (a re-pricer) get a HCFA claim on paper
>and we forward the claim to destination payer as 837 after re-pricing. HCFA
>paper claim does not carry any information that indicates if the payer is
>primary, secondary or tertiary. (I know that UB paper claim does carry this
>information).  But SBR01 (Payer Responsibility Sequence Number Code) is a
>required field on 837 professional.
>
>Is it ok for a re-pricer to convert the paper claim to 837? If so how do we
>derive SBR01 from information on HCFA paper claim?
>
>Any help is appreciated
>
>Raj Thuppanna
>770 444 4468
>
>
>
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Christopher J. Feahr, OD
http://visiondatastandard.org
[EMAIL PROTECTED]
Cell/Pager: 707-529-2268        


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