These codes are for an 837P. They are used in loop 2000 in the SBR segment (subscriber) element SBR05 - Insurance Type Code. It is: "Required when the destination payer (Loop 2010BB) is Medicare and Medicare is not the primary payer (SBR01 equals S or T )." Rich McNeil MIS Project Leader Southcoast Hospitals Group New Bedford, MA 02740 E-Mail: [EMAIL PROTECTED] Phone: 508-910-3822 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% Tue Jun 26, 2007 3:01 pm From: "West, Jayne" <JWest From: "West, Jayne" <[EMAIL PROTECTED]> To: <[email protected]> Subj: [MEDITECH-L] FW: MSP codes in 837 claim file Date: Tue, 26 Jun 2007 14:38:12 -0400 I was told by our Medicare biller that these codes are used when entered via Direct Data Entry into Omnipro. We have both called Empire Medicare and we were both told that they are also required on electronic claims. Unfortunately- they can't tell us where. I am able to find this chart below that shows the relationship of the Payer ID codes to Value Codes, but we have been told we need to show the letter code somewhere in addition to the Value Code and primary payer amount. Maybe we are being misled by the people at provider services? Code Description MSP VC A Working Aged with Employer Group Health Plan (EGHP) 12 B ESRD beneficiary with EGHP in 30-month coordination period 13 C Requesting conditional payment 14, 15, or 47 D Automobile, including No-fault 14 E Workers' Compensation 15 F Public Health Service (PHS) or other Federal Agency 16 G Disabled with Large Group Health Plan (LGHP) 43 H Federal Black Lung Program 41 I Veteran's Administration 42 L Liability 47 Z Medicare -----Original Message----- From: Scaccia, Kimberly [mailto:[EMAIL PROTECTED] Sent: Tuesday, June 26, 2007 9:41 AM To: West, Jayne Subject: RE: [MEDITECH-L] MSP codes in 837 claim file I'm pretty familiar with the 837 claim; however, I don't see any specification that is one character for Medicare = Z. SVD segments typically have Payer ID Codes in them -- (i.e. 2330B - Other Payer or 2430 Line Adjudication Information) an most of those require Medicare to be identified as two digits. Who is giving you this information? Kim Scaccia, System Admin Recovery Reimbursement Patient Business & Financial Services Halifax Medical Center 386-226-4590 opt 1 ext 2018 -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of West, Jayne Sent: Monday, June 25, 2007 4:00 PM To: [email protected] Subject: [MEDITECH-L] MSP codes in 837 claim file Can anyone tell me where the Payer ID codes for MSP claims need to go in an 837 file? These are the codes where Z is Medicare, A is Working Aged/EGHP, B is ESRD, G is Disabled/LGHP, etc. I can't find where these go and I have called Medicare 4 times and they can't/won't give me a spec ID. Can someone please clue me in? Thanks! Angie Gilbert [EMAIL PROTECTED] =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= To subscribe or unsubscribe to the meditech-l, visit http://mtusers.com/mailman/listinfo/meditech-l_mtusers.com To check the status of the meditech-l, visit MTUsers.NET For help, email [EMAIL PROTECTED] Please visit and add information to the MTUsers WikiPedia at MTUsers.NET/mwiki ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l_mtusers.com =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= To subscribe or unsubscribe to the meditech-l, visit http://mtusers.com/mailman/listinfo/meditech-l_mtusers.com To check the status of the meditech-l, visit MTUsers.NET For help, email [EMAIL PROTECTED] Please visit and add information to the MTUsers WikiPedia at MTUsers.NET/mwiki ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l_mtusers.com %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
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