The 276 IG page 86 states that a Claim Level DTP
segment on a professional claim refers to the claim from and through
date.
What is this? The 837P IG does not have those
dates.
There are then only two
possiblilities:
a) The 276 for a professional claim has to go the
the line level, because there I have service line dates that are required.
The IG states that a DTP segment either on the claim level or on the line level
is required. But a lot of payer systems are not able to give claim status
by service line.
b) I will never find a professional claim in my
database if the 276 stays on the claim level and gives a date for which I have
no equivalent in the claim. Since the 276 does not specify the claim
type, I have to treat the claim level date as a Statement-from or -to date which
is required for institutional claims.
Did anybody solve this mystery?
Martin Scholl
Scholl Consulting Group, Inc. 301-924-5537 Tel 301-570-0139 Fax [EMAIL PROTECTED] www.SchollConsulting.com ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ====================================================== 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. |
- RE: 276 Claim Level Dates Martin Scholl
- RE: 276 Claim Level Dates Cabral, Mike
- Re: 276 Claim Level Dates Jonathan Fox
- 276 Claim Level Dates Donathan, Greg
- RE: 276 Claim Level Dates Stine, Merri-Lee
- Re: 276 Claim Level Dates Alex Chernyak
