Re: 837 Subscriber and Patient Loops

[Doug Webb]

John, I believe that either is correct. I would prefer your Option 2, since it is likely to make my life simplier.   The opinions expressed here are my own and not necessarily the opinion of LCMH.   Douglas M. Webb Computer System Engineer Little Company of Mary Hospital & Health Care Centers [EMAIL PROTECTED]   "This electronic message may contain information that is confidential and/or legally privileged. It is intended only for the use of the individual(s) and entity(s)  named as recipients in the message. If you are not an intended recipient of the message, please notify the sender immediately,  delete the material from any computer, do not deliver, distribute, or copy this message, and do not disclose its contents or take action in reliance on the information it contains. Thank you."     ----- Original Message ----- From: Goetz, John To: WEDI SNIP Transactions Workgroup List Sent: Thursday, March 20, 2003 12:30 PM Subject: 837 Subscriber and Patient Loops I have a question regarding subscriber and patient loops in the 837.  If a healthcare provider bills claims for both the subscriber and the subscriber's dependent in the same 837, how should the subscriber and patient loops be arranged? Option 1 2000B - SUBSCRIBER HIERARCHICAL LEVEL 2010BA - SUBSCRIBER NAME, ADDRESS, DEMOGRAPHIC 2010BB - PAYER NAME 2300 - CLAIM INFORMATION 2000C - PATIENT HIERARCHICAL LEVEL 2010CA - PATIENT NAME, ADDRESS, DEMOGRAPHIC 2300 - CLAIM INFORMATION Option 2 2000B - SUBSCRIBER HIERARCHICAL LEVEL 2010BA - SUBSCRIBER NAME, ADDRESS, DEMOGRAPHIC 2010BB - PAYER NAME 2300 - CLAIM INFORMATION 2000B - SUBSCRIBER HIERARCHICAL LEVEL 2010BA - SUBSCRIBER NAME, ADDRESS, DEMOGRAPHIC 2010BB - PAYER NAME 2000C - PATIENT HIERARCHICAL LEVEL 2010CA - PATIENT NAME, ADDRESS, DEMOGRAPHIC 2300 - CLAIM INFORMATION In option 1, the patient hierarchical level starts immediately after the subscriber's claim data.  In option 2, the subscriber level must be repeated after the subscriber's claim data and before the dependent's claim data. Which one is the correct option when a provider submits claims for both the subscriber and the subscriber's dependent in the same 837? Thank you, John Goetz HIPAA Project Manager ACS State Healthcare --- 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/.   These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services.  They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- 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/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org