Not sure that I understand the question. If the "subscriber's payer
identification" does NOT include group or plan number, but the group or
plan number would assist them greatly in identification of the member...
How would I get the group or plan number if it's not included.
As a provider, we do send group or plan number whenever we get it at
intake. We've also seen instances in our non-HIPAA electronic billing that
payers have been interested in seeing a plan name in order to do routing
within their systems.
"HIPAA Guy"
<hipaa_guy@mail. To: [EMAIL PROTECTED]
com> cc:
Subject: 837 Transaction- Group or
Policy Number
10/10/2002 04:14
PM
Please respond
to transactions
Hi all,
Hoping to get some feedback from Professional providers...
Per the 837 Professional IG, page 111, the situational data element SBR03,
is "Required if the subscriber's payer identification includes Group or
Plan number. This data element is intended to carry the subscriber's Group
Number, not the number that uniquely identifies the subscriber."
If a Payer's "subscriber's payer identification" does NOT include group or
plan number, but the group or plan number would assist them greatly in
identification of the member, for those of you who are Providers (who will
be generating Professional 837's), is this a field that you would be
intending to include?
Thanks for sharing!
--
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