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 11:26 >>> 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 09:47 >>> 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. 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