Hello Greg- The 276 transaction provides for the entry of a range of dates, which allows the scenario you describe. Our organization's implementation of this transaction set allows the provider to either enter a specific date of service (from and through dates would be equal) or a range of dates.
If a specific date is entered, we would only return claims which match that specific date and the member/provider. If a range is entered, we would return all claims within that range that match the member and provider. Merri-Lee Stine -----Original Message----- From: Donathan, Greg [mailto:[EMAIL PROTECTED]] Sent: Tuesday, July 16, 2002 5:14 PM To: '[EMAIL PROTECTED]' Subject: 276 Claim Level Dates I've read the below email chain and I'm wondering if anyone else has a different interpretation on this, or plans on implementing this differently. If you take the dates as the actual dates of service from the original claim, then providers submitting requests must know the exact dates, which requires more on the submitter. Another take on this is to use these dates more along the lines of a date range search, and all claims with dates of service within the range may be pulled back. The list of claims found would still have other filters applied to it from the information sent in on the 276, such as a claims submitted charges. It seems as if this would be easier for the submitter. Any comments on using these dates as a range based search? -----Original Message----- From: Jonathan Fox [mailto:[EMAIL PROTECTED]] Sent: Tuesday, July 16, 2002 8:42 AM To: [EMAIL PROTECTED] Subject: Re: 276 Claim Level Dates Marty, These dates are the service dates as submitted on the original claim. Different terminology between Institutional and Professional, but the same result nonetheless. See pg. 31, section 2.2.3.3.4. Jon CONFIDENTIALITY NOTICE. This e-mail and attachments, if any, may contain confidential information which is privileged and protected from disclosure by Federal and State confidentiality laws, rules or regulations. This e-mail and attachments, if any, are intended for the designated addressee only . If you are not the designated addressee, you are hereby notified that any disclosure, copying, or distribution of this e-mail and its attachments, if any, may be unlawful and may subject you to legal consequences. If you have received this e-mail and attachments in error, please contact Independent Health immediately at (716) 631-3001 and delete the e-mail and its attachments from your computer. Thank you for your attention. >>> [EMAIL PROTECTED] 07/03/02 03:41PM >>> 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. 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