I have a question regarding the 837 Institutional Explanation of Benefits Indicator (page 163 of the IG). This is a Yes/No Condition or Response code. To quote the IG, "A 'Y' value indicates that a paper EOB is requested; an 'N' value indicates that no paper EOB is requested."
My question - is this intended to override any pre-existing agreement between the payer and the provider? If a payer has an agreement to send an 835 to the provider and the provider then submits an 837I with a 'Y' does the payer just send a paper EOB or do they send paper in addition to an 835? I'm really interested in hearing what the provider community would be expecting if they sent an 837I with a 'Y' EOB Indicator. This is a required data element on the 837 Institutional only, it does not exist on the 837 Professional or 837 Dental. Thanks, Andrea R. Hain ********************************************************************** 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. ====================================================== The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. Posting of advertisements or other commercial use of this listserv is specifically prohibited.
