Candice,
It seems to me that a payer that needs the SSN in the REF segment can
have as part of the Trading Partner Agreement the specific requirement,
that according to the Implementation Guide, the REF with the SSN must be
sent in all claims to this payer.
Kepa
Candice Craig wrote:
>
> The 837 Professional IG states (page 49) if no rule appears in the notes for
> a situational element, the item should be sent if available to the sender.
> As a payer (receiver) can we require the provider (sender) to collect and
> therefore transmit the information? For example, using Loop 2010CA -
> Patient Secondary Identification (page 166). This loop is situational if
> additional information is required to adjudicate the claim/encounter. If we
> require social security numbers for reporting to the state, can we require
> that this loop be always used to collect social security numbers? It is not
> necessary to process the claim, but we must use it when reporting encounters
> to the state.
>
> Thanks for any input!
>
> Candice Craig
> GUI Designer/HIPAA Implementation Team
> Kent County Community Mental Health
> [EMAIL PROTECTED]
>
> This message has been prepared on resources owned by Kent County, MI. It is
> subject to the Acceptable Use Policy of Kent County. Candice Craig, CMH,
> 616-336-8930.
>
> **********************************************************************
> To be removed from this list, send a message to: [EMAIL PROTECTED]
> Please note that it may take up to 72 hours to process your request.
**********************************************************************
To be removed from this list, send a message to: [EMAIL PROTECTED]
Please note that it may take up to 72 hours to process your request.
