Hi - on page 80 of the 276 it only says 837 not 837P or 837I so . . . to
add a note - on the 837P page 173, CLM05-02 is not used - so there is
only two elements (not three) that would have been used
Also FYI regarding the passing around of this field.- on page 93 of the
835 IG it says CLP09 is from CLM05-2 and should say CLM05-3 claim
frequency (not CLM05-2 facility code). I have already sent in a change
request for this one and it is on the list to "fix".
Thanks,
Laurie Valentine
Venturi Technology Partners
CA Alcohol & Drug Programs
916-327-6373 cell 775-720-3789
>>> [EMAIL PROTECTED] 07/03/02 10:20AM >>>
RE: 276 Bill TypeJennifer,
Thanks for your reply.
Does this mean that the Bill Type in the 276 is the concatenation of
all three subelements in the CML05 without the subelement seperator?
This would bring numerous problems because I cannot reconstruct a
unique association. For example the "111" in the 276 IG example could
be
1.. 1:1:1
2.. 11::1
3.. :11:1
whereby the colon (:) represents the subelement seperator.
I believe now that the Bill Type Identifier in its current incarnation
in the 276 is useless or even dangerous.
Martin
----- Original Message -----
From: Jennifer Ayres
To: '[EMAIL PROTECTED]'
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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