Just to be on the safe side, we'd better stick to Betty Boop and forget Betty Grable.  
I'm guessing that post humous PHI is litigious territory too ;-)



>>> "Koller, Greg" <[EMAIL PROTECTED]> 03/27/03 04:15PM >>>
Gee, is fictitious data PHI?

-----Original Message-----
From: McDaniel, Laurie [mailto:[EMAIL PROTECTED] 
Sent: Thursday, March 27, 2003 2:23 PM
To: WEDI SNIP Transactions Workgroup List
Subject: RE: 4010 837I compliance issue


But obviously fictitious data.

-----Original Message-----
From: Doug Fielding [mailto:[EMAIL PROTECTED] 
Sent: Thursday, March 27, 2003 2:19 PM
To: WEDI SNIP Transactions Workgroup List
Subject: RE: 4010 837I compliance issue


Nice broadcasting of PHI

-----Original Message-----
From: Bill [mailto:[EMAIL PROTECTED] 
Sent: Thursday, March 27, 2003 12:48 PM
To: WEDI SNIP Transactions Workgroup List
Subject: 4010 837I compliance issue



Hi,

 

Here is a breakdown of what I found with a compliance failure with the 4010
837I

The error is  (CLM/02 != SUM(SV2/03)) . This is in LX*5 in bold below
the 37th iteration of loop 2000B (Subscriber HL). CLM02=5488.02 and the 
amounts of SV203 total 7927.02. This is a difference of 2439.00, which 
is the exact amount of this SV2:

SV2*0300*HC:88180:91*2439*UN*3**2439~

SV2-01=0300  Revenue Code
SV2-02-01=HC  Healthcare (service)
SV2-02-02=88180  Service ID/Product ID
SV2-02-03=91 Procedure Modifier
SV2-03=2439  Monetary Amount
SV2-04=UN  Unit
SV2-05=3  Quantity
SV2-06=<empty>  Unit Rate
SV2-07=2439  Monetary Amount

The key here is that SV2-07 is "Line Item Denied Charge or Non-Covered 
Charge Amount" which nullifies the amount in SV2-03. There is nothing 
in the IG that states that denied charges should be subtracted from 
CLM02 or that SV2-03 amounts should subtract SV2-07 from SV2-03 prior to 
adding them for CLM reconciliation. This would appear to make sense 
logically but there are no business cases or documentation within HIPAA to 
support this theory. 

Can anyone supply me with an Industry Wide business case to prove 
otherwise?  If not I then can't escalate this compliance failure to
development  
because the software vendor feels that the map is functioning within HIPAA 
guidelines.

here is the whole claim

 

thanks

 

Bill Swaney

HIPAA Consultant


CLM*5006902851*5488.02***13:A:1*Y**Y*Y*********Y~ 
DTP*096*TM*0000~ 
DTP*434*RD8*20021007-20021007~ 
DTP*435*DT*200210070600~ 
CL1*3*1*01~ 
REF*EA*315470~ 
HI*BK:2893*BJ:2893~ 
HI*BF:2141*BF:V1079~ 
HI*BR:4023:D8:20021007~ 
HI*BQ:863:D8:20021007~ 
HI*BE:17:::27.02*BE:A2:::498.63~ 
NM1*71*1*GRABLE*B****24*123456789~ 
PRV*AT*ZZ*203B00000N~ 
REF*1G*E60251~ 
NM1*72*1*GRABLE*B****24*123456789~ 
PRV*OP*ZZ*203BS0100Y~ 
REF*1G*E60251~ 
NM1*73*1*GRABLE*B****24*123456789~ 
PRV*PE*ZZ*203B00000N~ 
REF*1G*E60251~ 
SBR*P*18**MEDICARE A*****MA~ 
CAS*CO*70*27.02**A2*1794.73~ 
CAS*OA*96*2439~ 
CAS*PR*2*498.63~ 
AMT*C4*755.66~ 
AMT*B6*5488.02~ 
AMT*T3*7927.02~ 
AMT*N1*755.66~ 
AMT*B1*755.66~ 
AMT*A8*2439~ 
AMT*YT*2439~ 
DMG*D8*19401211*F~ 
OI***Y***Y~ 
NM1*IL*1*GEDDY*ESTELLE*L***MI*010327595A~ 
N3*54 OAK AVE APT~ 
N4*FITCHBURG*MA*014203138~ 
NM1*PR*2*ASS HOSP SVC 81*****PI*00181~ 
N3*2 GANNETT DRIVE~ 
N4*SOUTH PORTLAND*ME*041066911~ 
DTP*573*D8*20021106~ 
REF*F8*1229630223~ 
NM1*71*1~ 
REF*1G*E60251~ 
NM1*72*1~ 
REF*1G*E60251~ 
LX*1~ 
SV2*0250*HC:LMNOP*4.02*UN*3~ 
DTP*472*D8*20021007~ 
SVD*00181*0**0250*3~ 
DTP*573*D8*20021106~ 
LX*2~ 
SV2*0258*HC:LMNOP*17*UN*1~ 
DTP*472*D8*20021007~ 
SVD*00181*0**0258*1~ 
DTP*573*D8*20021106~ 
LX*3~ 
SV2*0270*HC:LMNOP*297*UN*1~ 
DTP*472*D8*20021007~ 
SVD*00181*0**0270*1~ 
DTP*573*D8*20021106~ 
LX*4~ 
SV2*0271*HC:LMNOP*45*UN*1~ 
DTP*472*D8*20021007~ 
SVD*00181*0**0271*1~ 
DTP*573*D8*20021106~ 
LX*5~ 
SV2*0300*HC:88180:91*2439*UN*3**2439~ 
DTP*472*D8*20021007~ 
SVD*00181*0*HC:88180:91*0300*3~ 
CAS*OA*96*2439~ 
DTP*573*D8*20021106~ 
LX*6~ 
SV2*0310*HC:88304*201*UN*3~ 
DTP*472*D8*20021007~ 
SVD*00181*29.78*HC:88304*0310*3~ 
CAS*PR*2*34.97~ 
DTP*573*D8*20021106~ 
LX*7~ 
SV2*0360*HC:11402*598*UN*1~ 
DTP*472*D8*20021007~ 
SVD*00181*74.43*HC:11402*0360*1~ 
CAS*PR*2*42.9~ 
DTP*573*D8*20021106~ 
LX*8~ 
SV2*0360*HC:11402*598*UN*1~ 
DTP*472*D8*20021007~ 
SVD*00181*74.43*HC:11402*0360*1~ 
CAS*PR*2*42.9~ 
DTP*573*D8*20021106~ 
LX*9~ 
SV2*0360*HC:12032*598*UN*1~ 
DTP*472*D8*20021007~ 
SVD*00181*40.55*HC:12032*0360*1~ 
CAS*PR*2*22.82~ 
DTP*573*D8*20021106~ 
LX*10~ 
SV2*0360*HC:38525*1196*UN*1~ 
DTP*472*D8*20021007~ 
SVD*00181*509.45*HC:38525*0360*1~ 
CAS*PR*2*355.04~ 
DTP*573*D8*20021106~ 
LX*11~ 
SV2*0370*HC:LMNOP*559*UN*1~ 
DTP*472*D8*20021007~ 
SVD*00181*0**0370*1~ 
DTP*573*D8*20021106~ 
LX*12~ 
SV2*0710*HC:LMNOP*1375*UN*1~ 
DTP*472*D8*20021007~ 
SVD*00181*0**0710*1~ 
DTP*573*D8*20021106~ 
HL*56*53*22*0~ 
SBR*S*18*M02111001******ZZ~ 
NM1*IL*1*BAEZ*JOAN****MI*011247822A~ 
N3*406 ELM ST~ 
N4*FITCHBURG*MA*014206726~ 
DMG*D8*19310716*F~ 
NM1*PR*2*MEDICAID*****PI*M02111001~ 
N3*600 WASHINGTON ST.~ 
N4*BOSTON*MA*02111~ 




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