I am requesting that my email be changed from [EMAIL PROTECTED] to
[EMAIL PROTECTED]
Thank you for your time,
Giselle"Gigi" Santiago-Chanette
Administrative Assistant
Joshua Medical Group, P.C
Tel: (714) 527-8943 Fax: (714) 527-9086
[EMAIL PROTECTED]
" He who is slow to anger has great understanding, But he who is
quick-tempered exalts folly." Proverbs 14:29
-----Original Message-----
From: Kepa Zubeldia [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, August 15, 2001 9:39 PM
To: [EMAIL PROTECTED]
Cc: James Driscoll; Ron Brunko
Subject: Re: Rendering Provider Segment in 837 IG's
Juliet,
Have you considered making a change to your claims repricing system in
order to reprice claims with multiple rendering providers?
Kepa
Juliet Mees wrote:
>
> During our mapping of the 837 we have encountered an issue with the fact
that one claim can have different rendering providers at the claim detail
level. As an access only PPO our main function is to perform claim
re-pricing and then forward these repriced claims to the appropriate payers
for payment.
>
> Our claims transaction system only allows one provider contract per claim
for repricing, so are we allowed to split the claim when the rendering
provider changes and send out multiple claims to our payers when different
rendering providers are received in the detail segment (Loop 2420A)?
>
> Any guidance is much appreciated?
>
> Juliet Mees
> Director, Technology Compliance
> Sloans Lake Managed Care
> 303-504-5350
> [EMAIL PROTECTED]
>
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