Bill,

 

I would be glad to help you if I am able. Send me the complete transaction and I’ll see if we can run it through the CCAP tests we are currently performing. At worst I can probably run the transaction through 3 validators and several large translators and we can see what the common response is.  Just an idea but probably the only way to check overall consistency.

 

Regards,

 

Mark A Lott

President/CEO

HIPAA Testing, Inc.

www.hipaatesting.com

 

Executive Co-Chair HCCO - Transactions Group

HIPAA Conformance Certification Organization

www.hcco.us

 

Office: 480-946-7200

Cell:   480-239-5112

Fax:  877-272-2841

 

CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message

 

-----Original Message-----
From: Bill [mailto:[EMAIL PROTECTED]
Sent: Thursday, March 27, 2003 10:48 AM
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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