Randy, In the context of the 2330x loops, the term "non-destination (COB) payer" means the specific payer identified in the Other Payer Name loop (Loop ID-2330B). Each Dental claim transaction has a destination payer as defined by the 2010BB loop. The destination payer is the addressee for the claim. It could be the primary payer, the secondary payer, or any subsequent payer.
A non-destination payer is any of the payers identified in the 2330B loop. Note that this has nothing to do with routing or benefits. For example, suppose a dentist sends a claim to the primary payer (payer P). Upon receiving the remittance advice from payer P, the dentist then wishes to send the claim to the secondary payer (payer S). The dentist would then create a claim for payer S and put payer S's information in the 2010BB loop. Payer S would be the destination payer. In this example, the Payer Sequence field in SBR01 of loop 2010BA must be set to 'S'. The claim would include appropriate 2320/2330 loop information to define the primary payer (payer P) and the remittance information from payer P. If payer P requires a payer-specific identifier for the Rendering Provider, then the claim would include the 2330E loop in order to house payer P's identifier for the Rendering Provider. Any payer-specific identifier(s) sent in the Rendering Provider loop (2310B) would apply to the destination payer (payer S). Hope this helps, Tom Drinkard EDIT, Inc. [EMAIL PROTECTED] (678) 795-1251 (voice) (678) 795-1575 (fax) -----Original Message----- From: Meier, Randy [mailto:[EMAIL PROTECTED]] Sent: Tuesday, July 09, 2002 3:56 PM To: '[EMAIL PROTECTED]' Subject: 837 Dental Question In the Implementation Guide, for 837 Dental, 2330E Loop the notes indicate it is used: "Used when it is necessary to send and additional payer-specific provider identification number for non-destination (COB) payers." Can anyone explain what is a "non-destination (COB) payer"? Is it a payer who will not receive this particular transaction due to offering NO benefits for the subscriber in this claim instance? Or does is just mean a COB payer who will not be included in this transaction routing due to lack of trading partner agreements? Or is it something different from either of these? Thanks for your help. Randy Meier EDI Analyst ACS-Tallahassee, FL ********************************************************************** 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.
