Kepa,
Thank you. I realized that as I kept reading. I agree, the IG is somewhat
confusing in the subscriber/ patient levels. However, you confirmed what
I had interpreted.
Thanks!!
Paulette Drafts
>>> [EMAIL PROTECTED] 09/19/02 10:50PM >>>
Paulette,
If the patient is the insured, the claim is sent in the insured loop and there
is not a separate patient loop, therefore you don't need loop 2000C.
The implementation guide is somewhat confusing in this area Read the noter on
page 52. Loop 2300 and following can appear either right after loop 2010BD
when the subscriber is the patient, or right after 2010CA (as in the guide)
when the subscriber is not the patient.
I hope this helps.
Kepa
On Thursday 19 September 2002 12:08 pm, Paulette Drafts wrote:
> Hi,
> (In Loop 2000C, segment PAT, element 1069 on page 155 , 156 of the IG)
There is no code for patients relationship to insured if the patient is the
insured
> which would be SELF. What are other people coding in this instance?
> Thank you for any assistance.
> Paulette Drafts
>
>
>
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