Jennifer,

It is up to the payer building the 835 to decide whether they are going to 
generate only one LX or more than one, and both are equally in compliance 
with the 835 guide.  The provider receiving the 835 should accommodate the 
existence of either a single LX loop or multiple LX loops.

However, generating an LX for each CLP segment defeats the purpose of 
generating multiple LXs.  The possibility of generating multiple LX is so you 
can group the claims being paid by one payment into different groups.  But if 
you have one LX per CLP you end up having one payment with multiple "groups 
of one" which is the same as not having groups at all.  A wasted effort.  But 
nothing technically wrong with that.  You may also end up repeating the 
TS3/TS2 segments over and over in each LX with the same information in them. 
More waste.  But still technically correct.

As you know, there are multiple solutions to these HIPAA implementations, and 
many of them are correct.  However, after having said they are correct, I 
would still recommend to not waste your computer cycles in producing a 
separate LX per CLP, as it is of no particular use.

I hope this helps.

Kepa




On Thursday 19 September 2002 08:36 am, [EMAIL PROTECTED] wrote:
> According to the IG notes for the LX segment - "The LX segment is required 
> whenever any information in the LX loop is included in the transaction.  In 
the 
> event that claim/service information must be sorted, the LX segment must 
> precede each series of claim level and service segments."
> 
> We interpreted "series" to mean multiple Loop 2100/2110's.  Therefore we 
were 
> only including one LX per 835.  This approach was not questioned by the 
> validator we are using to test compliance of our files.
> Our current testing partner says that they are used to seeing an LX segment 
> (Loop 2000) prior to each CLP segment (Loop 2100) so the number of LX 
segments 
> equals the number of claims included in the 835.
> 
> The phrase "In the event that claim/service information must be sorted.." 
makes 
> it sound like the end user can decide if they need multiple LX.  
> Any comments to what is the correct interpretation or standard practice 
would 
> be appreciated.
> 
> Thanks,
> Jennifer Freehill
> [EMAIL PROTECTED]
> 
> 
> 
> 
> 
> 
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