----- Original Message -----
Sent: Tuesday, July 02, 2002 12:16
PM
Subject: RE: 276 Bill Type
Martin,
CLM05 breaks out the 3 components, but 276 does not. So the
field for 276 encompasses all 3 components of CLM05.
The 276 field for bill type can be
1-30 characters long. The 3 components for CLM05 can be up to 5
characters, but normally only 3 would be used on either the 276 or 837
transaction.
276
REQUIRED REF02 127 Reference Identification X
AN 1/30
Reference information as defined for a
particular Transaction Set or as specified
by the Reference Identification Qualifier
INDUSTRY: Bill Type Identifier
SYNTAX: R0203
1066 Found on UB92 - record 40 - 4
Found on 837 CLM-05
837
REQUIRED CLM05 C023 HEALTH CARE
SERVICE LOCATION
INFORMATION
O
To provide
information that identifies the place of service or the type of bill
related
to the location at
which a health care service was rendered
1059 ALIAS:
Type of Bill
REQUIRED CLM05 - 1 1331 Facility Code Value M
AN 1/2
Code identifying the type of facility where
services were performed; the
first and second positions of the Uniform Bill Type code or the Place
of
Service code from the
Electronic Media Claims National Standard Format
INDUSTRY: Facility Type Code
1059 UB-92
Reference [UB-92 Name]:
1226 4, Positions
1-2 [Type of Bill]
1226 EMC v.6.0
Reference:
2001226
Record Type 40 Field No. 4, Positions
1-2
2100165 Record Type 10 Field No. 2, Positions
1-2
2100221 Record Type 95 Field No. 5, Position 1-2
(Batch Control)
REQUIRED CLM05 - 2 1332 Facility Code Qualifier O ID 1/2
Code identifying the type of facility referenced
CODE DEFINITION
A Uniform Billing Claim Form Bill
Type
CODE
SOURCE 236: Uniform Billing Claim Form Bill Type
REQUIRED CLM05 - 3 1325 Claim
Frequency Type Code O ID 1/1
Code
specifying the frequency of the claim; this is the third position of
the Uniform Billing Claim Form Bill
Type
INDUSTRY:
Claim Frequency Code
Jennifer Ayres, Senior
Consultant
IntraNexus
(510)444-2099 x222
[EMAIL PROTECTED]
-----Original Message-----
From: Martin Scholl [SMTP:[EMAIL PROTECTED]]
Sent: Tuesday, July 02, 2002 7:43 AM
To: [EMAIL PROTECTED]
Subject: 276 Bill Type
The 276 IG on page 80 talks about the
Institutional Bill Type Indentification and says that it refers to CLM05 in
the 837.
CLM05 has sub-elements. Which sub
element is the IG referring to?
The
example in the 276 lists REF*BLT*111~
111
is three bytes, the subelements in CLM05 can only be 1 or 2 bytes
long.
Martin Scholl
Scholl Consulting
Group, Inc.
301-924-5537 Tel
301-570-0139
Fax
[EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
www.SchollConsulting.com <http://www.SchollConsulting.com>
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