It appears from the lack of any response that I have asked a question not
applicable to this group.  

Can any advise as to the correct group to solicit input from.

Thanks 

Bob Ford
mailto:[EMAIL PROTECTED]

-----Original Message-----
From: Bob Ford [mailto:[EMAIL PROTECTED]]
Sent: Monday, May 13, 2002 9:57 AM
To: '[EMAIL PROTECTED]'
Subject: Outside Lab and charges


I hope this is the correct place to ask this question.

I have seen a cosswalk from the HCFA1500 to the 837.  When referencing box
20 "Outside Lab Yes/No and Charges", it was not clear how these should be
mapped.  So, I would like to ask if the following then could be considered
correct:

In Loop ID -  2310D Service Facility Location, outside lab will be
identified by the identifiers on the NM1 segment.  

If the NM101 Entity Code is "IL", this will indicate that the "Outside Lab
is Yes".  For these transactions, a PS1 segment will be required in loop
2400 to disclose the charges to be reported in box 20 "Charges".   

If the NM101 Entity Code is "TL", this will indicate an affiliated "Testing
Laboratory", so, box 20 "Outside Lab is NO".  No PS1 segment will not be
required because charges are not required when Outside Lab is NO.



Bob Ford
[EMAIL PROTECTED]
401-822-1962

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