Suzanne,
 
I can't cite a regulation or an HHS FAQ on this, but Stanley Nachimson of HHS has stated on a number of occasions something to the effect that an attachment that is required with every claim is the equivalent of adding data to the claim standard, and would thus be problematic.  I.e., if it is needed all of the time, it should be part of the claim, not part of an attachment, and you can't unilaterally add data to the claim transaction.  So you might want to contact HHS directly on this.
 
 - Zon Owen -
(808)597-8493
----- Original Message -----
 
Sent: Tuesday, November 12, 2002 8:04 AM
Subject: 275 attachment

Dear Group Members,

We would like to know if we can require a 275 for every 837.  This would give us the ability to collect data such as DSMIV codes and and more definitive ethnicity codes.  Is there a reason why this cannot be done? 

Thanks.
Suzanne
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