The 4010 guide for the 276/277 has various segments on the 277 required at
the subscriber level, even if the claim is not for the subscriber.  Examples
are the DMG, TRN, and STC.  This is in conflict with note at the end of
section 2.2.3.1.1 (pg 27), which says that claim related information should
'float', being placed at the level of the patient to whom the claim applies.

While 4010a fixes this problem for the DMG and TRN (though the DMG change is
not identified!), it does not change the STC requirement.  How are you
handling this requirement, especially in the instance where you have more
than one dependent for the same subscriber, each with a claim with its own
status?  Or one dependent with multiple claims, each with its own status.
Are there generic status and category codes which can be used at the
subscriber level?

Thanks for you help.


Michael Lachenmayer
Independence Blue Cross
Ph: (215) 241-9453
Fx: (215) 241-4134






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