Since coverage under COBRA would be further specified in Loop 2300 (Health Coverage) just like any other benefit, perhaps you could use the DTP segment in position 270 of the transaction. DTP01 has a qualifier code available in the implementation guide of "543" - Last Premium Paid Date. Please refer to pages 132-133 of guide X12N-834-004010X095 (May 2000).
In the 4050 version release of the implementation guide we have added code "343" (Paid Thru Date) to this occurence of this segment. Non-covered entities under HIPAA may, of course, begin using this code if so desired. Hope this helps! Paul Weber 916-449-6970 ----- Original Message ----- From: [EMAIL PROTECTED] Date: Mon, 21 Oct 2002 18:54:56 -0400 To: <[EMAIL PROTECTED]> Subject: RE: Sending COBRA paid thru dates in 834 > > > > Has anyone devised a creative way to send COBRA paid through dates in the > 834? �You have Member Level Dates in the 2000 Loop for COBRA Begin and End, > but I'm interpreting these as "effective", which may be different than the > acutal "paid" dates. > > There was a DSMO request to add a code in INS04 for "Non-Payment" (text > below) , though it doesn't appear this request made the addenda. �But this > seems to indicate others need to communicate the payment status for COBRA. > > > Any ideas? > > Thanks for your feedback. > Freida Hall > CGE&Y > > ### > > DSMO Request: > Business Reason > Health New England (HNE) and Massachussetts Business Association (MBA) are > doing a pilot of the 834 Enrollment Transaction.� MBA services our small > employer groups (1-5 eligibiles). They enroll the subscribers and > dependents in their system, then send an 834 to HNE for entry to our > system. MBA is responsible for premium billing and collection. > > The INS04 element "Maintenance Reason Code" in the 2000 loop "Member Level" > of the 834 carries the reason for termination. One of the reasons to > terminate a family is non-payment of premium. This can be at the employer > level (all subscriber's under an employer are teminated) or at the family > level (such as a COBRA premium). The current implementation guide does not > have a code for this reason. > > Suggested Change > Please add the X12 standard code 59 "Non-Payment" to the implementation > guide, page 43, INS segment INS04 element. Data element 1203. > > > > > ********************************************************************** > 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. > > -- __________________________________________________________ Sign-up for your own FREE Personalized E-mail at Mail.com http://www.mail.com/?sr=signup ********************************************************************** 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.
