This question is related to 276/277 processing requirements.  Can we still
report a claim status at a line level if the claim was NOT paid to the
provider?  If so, do we report the amount paid just at the claim level and
0 at the line level?

LINE ITEM PAID AMOUNT -- STC05 in loop 2220D / 2220E.    The IG (page 185)
states the industry standard is 'Line Item Provider Payment Amount'    I
interpret this to mean that if we pay the employee, this amount should be
0.  Or do we not even send this line level data?

CLAIM PAYMENT AMOUNT -- STC05 in loop 2200D / 2200E.  The IG (page 162)
states the industry standard is 'Claim Payment Amount'.  I would think this
means if we paid anything to anyone, it would be sent here.



**********************************************************************
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.

Reply via email to