If the Subscriber (2000B) is the same as the Patient (2000C) then: 1. SBR02 = 18 in loop 2000B 2. Loop 2000C is not used.
See the following guidance from page 51 of the IG (note the 2nd to last sentence): Table 2 - Detail, Patient Hierarchical Level For purposes of this documentation, the claim detail information is presented only in the dependent level. Specific claim detail information can be given in either the subscriber or the dependent hierarchical level. Because of this the claim information is said to "float." Claim information is positioned in the same hierarchical level that describes its owner-participant, either the subscriber or the dependent. In other words, the claim information, loop 2300, is placed following loop 2010BD in the subscriber hierarchical level when the patient is the subscriber, or it is placed at the patient/dependent hierarchical level when the patient is the dependent of the subscriber as shown here. When the patient is the subscriber, loops 2000C and 2010CA are not sent. See 2.3.2.1, HL Segment, for details. Larry ----- Original Message ----- From: "Paulette Drafts" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Thursday, September 19, 2002 2:08 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 o f 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.
