I use the from/to dates of service and select all claims for this patient +
this provider + ..., etc which have service dates intersecting with those
on 276

>>> [EMAIL PROTECTED] 07/16/02 05:13PM >>>
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

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>>> [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 



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