I have a general question about Situational segments and elements and a somewhat 
related question about payer-specific edits. My Situational question deals with 837 
transactions but it could be applied to all transactions. 

I'd like to know if any receivers will reject claims that have unneeded Situational 
segments or elements. I have a couple of examples:
Onset Date at Service Level (2400 loop) being the same as the Onset Date at Claim 
Level (2300 loop)
CLIA Number submitted on non-Medicare/Medicaid claims

I haven't found any explicit language saying unneeded Situational items cannot be 
sent, but it's clear that they "should not" be sent, leading to individual 
interpretation of the language to determine if it's allowable when not needed. I'm 
asking because, as a repricer of claims, I receive claims from many sources 
(direct-submitting providers and clearinghouses) and then send those repriced claims 
on to payers. All inbound EDI transactions will be HIPAA compliant and I'll be 
inserting my HCP segments at the appropriate location within each claim and then 
sending those claims on to payers. When I receive claims with unneeded Situational 
segments or elements, I simply ignore the unneeded information and I'm hoping the 
payers I send to will do as well, which does seem to be the case in most I have spoken 
with. I'm trying to limit the number of claims that I originally accept from a sender, 
only to have those claims rejected by a receiver for some reason.

As for my question about payer-specific edits; most of these submitters only identify 
the claim as our claim, rather than identifying the ultimate destination of the claim 
- the payer. I've been asked by the submitters what edits I want applied but the few 
edits I want may not include the payer-specific edits that a payer may want. Is it 
fair of me to ask these submitters to identify the payer of the claim and apply those 
specific edits according to their companion guides? Since I'm not the creator of the 
claim and the source of the data, I don't feel that I can apply many of these 
payer-specific edits.

Thanks in advance for any advice.

Dave Sell
Sr. Programmer/Analyst
The Alliance
[EMAIL PROTECTED]




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