That's because the information is in loop 2000B, field SBR02. Remember that there are two variants, one if the subscriber is the patient (SBR02 = 18, patient info in loop 2000B, loop 2000C absent), and one if the subscriber is not the patient (SBR02 omitted, loop(s) 2000C [starting with the HL segment] present & containing the patient info). Also note that there can be more than one Patient for the same Subscriber. If the Subscriber is one of the patients, his info (in loop 2000B0 and all the 23xx & 24xx Loops relating to claim(s) with the Subscriber as the Patient will be before the HL segemnt(s) for other Patient(s) related to the Subscriber.
I handle the situation by starting each new claim with loop 2000B, and ignoring the possibility of multiple Patients, because my system would have a very hard time identifying 2 calims that would be a possible candidate for the multiple-patient structure. Just because the IG supports the complexity does not mandate that you have to use it. Douglas M. Webb Computer System Engineer Little Company of Mary Hospital & Health Care Centers [EMAIL PROTECTED] "This electronic message may contain information that is confidential and/or legally privileged. It is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of the message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute, or copy this message, and do not disclose its contents or take action in reliance on the information it contains. Thank you." ----- Original Message ----- From: "Paulette Drafts" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Thursday, September 19, 2002 01:08 PM Subject: 837p Patient Relationship To Insured 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 ********************************************************************** 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. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. Posting of advertisements or other commercial use of this listserv is specifically prohibited. ********************************************************************** 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. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. Posting of advertisements or other commercial use of this listserv is specifically prohibited.
