I also see that splitting of the claims will be very popular.
Kepa mentioned in his email that "there may be times when you may have to
recombine them" for 835 or COB.
There is an FAQ on HHS that speaks to NOT having to recombine for COB. I
was also hoping that meant not having to recombine when sending back the
835.
Any further thoughts?
Rosemary
Jan Root
<janroot@uhin To: [EMAIL PROTECTED]
.com> cc:
Subject: Re: Question: Hipaa 837 -vs-
APCs
08/31/01
03:37 PM
Please
respond to
transactions
Marsha
Yes, I echo what Kepa said. Actually, you have a lot of good company in
your
line limit boat. Most payers I know with this issue are splitting the
claim on
the front end. As Kepa said, it adds a layer of complexity on the back end
process. Mostly I'm hoping that providers will understand that they will
sometimes be receiving more than one front-end acknowledgement for each
claim
they send to a payer. It will make tracking claims from their end more
complex
as well.
j
[EMAIL PROTECTED] wrote:
> Hi,
> We are a vendor of a mainframe payer administration system. We're
> working on our new release which will include functionality to support
> both the HIPAA compliant 837 and Medicare's mandated use of APCs.
>
> We've run into a problem and wonder if any of y'all have solved it ...
>
> Facility 837s allow 999 Revenue Lines but the APC system only accepts
> 150. It blows up if you pass more than 150 ... I hate ABENDS!
>
> Thanks for your help
> Marsha
>
> Verizon Information Technologies, Inc.
> Managed Care Division Phoenix, AZ
> Phone - 602.678.6042
> Fax - 602.678.6331
> E-mail - [EMAIL PROTECTED]
>
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