I will be out of the office from Sept 30 thru October 7. If you need immediate assistance, please contact: Susan Uman Lynda Louk Brandon Mitchell
>>> transactions 09/30/02 09:30 >>> Joan, I will take a stab at your question. If anyone feels this response is incorrect - feel free to say so. First, when you say your 271 response is to return dental co-insurance - Then I am assuming the 270 EQ01 data element contained code '35' asking for eligibility information for the patient's dental care. With that being said, the EB01 element in the 271 would be 'A' for co-insurance - nothing in EB03, the co-insurance percent in EB08, and then in the MSG segment, indicate what type of dental category. I know using the MSG segment is not recommended, but I don't see any other way to indicate the type of coverage. Deborah Sparma -----Original Message----- From: Joan Perry [mailto:[EMAIL PROTECTED]] Sent: Thursday, September 26, 2002 4:20 PM To: [EMAIL PROTECTED] Subject: 271 loop 2110C EB When giving dental co-insurance percents for benefits, our plans are set up by preventive, basic, major, and ortho categories. The EB03 segment in this loop does not list these values. Instead it lists the CDT-3 categories. Unfortunately we have plans that do not follow these completely. For example, our plans list some CDT-3 Periodontic services as basic and others as major. I am looking for suggestions on how to respond on the 271 for these. Also, how do you report a deductible that applies to basic and major only? **************************************************************** Please Note The information in this E-mail message is legally privileged and confidential information intended only for the use of the individual(s) named above. If you, the reader of this message, are not the intended recipient, you are hereby notified that you should not further disseminate, distribute, or forward this E-mail message. If you have received this E-mail in error, please notify the sender. Thank you ***************************************************************** ********************************************************************** 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. **************************************************************** Please Note The information in this E-mail message is legally privileged and confidential information intended only for the use of the individual(s) named above. If you, the reader of this message, are not the intended recipient, you are hereby notified that you should not further disseminate, distribute, or forward this E-mail message. If you have received this E-mail in error, please notify the sender. Thank you ***************************************************************** ********************************************************************** 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.
