Much
more clear - thanks.
I
forwarded your post to our 837 person for comment. Here is her
response:
"so far I have not
seen any claims with the LINE ITEM CONTROL number in them. BUT using the
LX number also had disadvantages when it comes to Hospital claims SINCE our
software may combine the EDI 'revenue charges' into [our local application]
charges. In this situation the 3rd charge in the EDI file would not necessarily
be the 3rd charge in the [our local
application] claim."
Let me rephrase.
Segment REF*FJ carries the Line Item Control
Number. I believe this number is rarely used, at least I have never seen
it on a claim. I thought it would be easy to put instead in there the
Line Number, the one that comes with the LX Segment on the 837.
This way an inquiry can reference a certain
line. Right now when I receive a status inquiry on a line, I can only
find the line by comparing procedure code and charge and date, line by
line, until I have a match. Or if the claimline had the elusive Line Item
Control Number.
It would be easier to inquire about Line 3 for
example. Then I don't need to make a database search line by line, I can
go straight to line 3 and get the status.
Hope I am more clear now.
---- Original Message -----
Sent: Thursday, July 11, 2002 9:45
AM
Subject: RE: 277 REF*FJ
Coma again? I don't understand what you're
proposing.
Question:
On page 187 the IG says that REF*FJ pertains
to the Line Item Control Number.
It would make more sense to also allow here
the line number as the 276 does with the REF*FJ segment.
Especially the unsolicited 277 should
indicate which line this status information belongs to.
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