Mike Deductible, blood deductible, and co-insurance are 835 adjustment reason codes; Remark codes are in the MIA and MOA segments, MAO09 is the Nonpayable Professional Component Amount - will that do?, it looks like most of what you need is there.
Tips for finding obscure elements: A word search is probably the easiest way to find obscure data elements; also, always search the claims adjustment reason code list - it's hard to find anything in there but word searches work pretty well most of the time. Jan Root "Winston, Mike K." wrote: > The fields listed below are needed to price Medicare Secondary claims > electronically. Where in HIPAA (I do not believe they exist). We are > trying to determine the best way to inform our providers on how to submit > this data to us (other than paper). Any info would be greatly appreciated. > > Medicare Blood Deductible > Medicare Coinsurance > Medicare Denied remark code > Medicare Covered > Medicare Deductible > Medicare Professional component > > Thanks > > Mike Winston > Business Systems Analyst > Trigon ISD > Ph (804) 354-4521 > Fx (804) 678-0452 > [EMAIL PROTECTED] > > This message, including files attached to it, may contain confidential > information that is intended only for the use of the ADDRESSEE(S) named > above. If you are not the intended recipient, you are hereby notified that > any dissemination or copying of the information is strictly prohibited. If > you have received this message in error, please notify the sender > immediately and delete the message from your system. Thank you. > > To be removed from this list, go to: >http://snip.wedi.org/unsubscribe.cfm?list=business > and enter your email address. > > 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.
