Martin,
 
The rationale for the statements is this:  Some Adjudication systems (for Professional Claims) takes a the earliest from date recorded in any of the lines of the claims and the latest to date of the lines in the claim and creates a Claim Level Date Range.  For example:
 
Service line 1 - From date = 01152002 To Date = 01152002
Service line 2 - From date = 02122002 To Date = 02122002
Service line 3 - From date = 02232002 To Date = 02252002
 
When this payer's system records a Claim Level Date Range it is 20020115-20020225. 
 
 
The authors of this IG took this into consideration and tried to craft language that didn't force all payers to have to support line level search criteria when in fact their systems didn't allow for it.
-----Original Message-----
From: Martin Scholl [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, July 03, 2002 3:42 PM
To: [EMAIL PROTECTED]
Subject: 276 Claim Level Dates



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


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