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Why are the 'Identification Code Qualifiers' so
inconsistent?
In the 837 P, the rendering provider can have only
three distinct identifiers in NM108. Either '24' for EIN, '34' for SSN or 'XX'
for HCFA.
The 835, where the same information has to be
provided, has different code sets. Here the SSN is represented by 'FI'.
There is no code for an employer ID but there are additional codes. BS for Blue
Shield, BD for Blue Cross and so on.
The REF segments, that could provide additional
identifiers for a rendering provider, have again different qualifiers.
Here Blue Shield is represented by '1B', and there is no Blue Cross
identifier and social security number is now 'SY'
This is a mess.
There should be only one complete list for ID
qualifiers throughout HIPAA transaction sets with clearly and uniquely defined
meanings. This code set should be valid for all NM1 08 elements as well as REF
segments.
Martin Scholl
Scholl Consulting Group, Inc. 301-924-5537 Tel 301-570-0139 Fax [EMAIL PROTECTED] www.SchollConsulting.com |
