Robert, 1.You will need to send loop 2320 as there are other payors involved. 2.If you do not send DMG segment or any of its required element then your claim may be rejected as non-compliant. 3.When you collect the other Subscriber details such as Id number etc, then you must also collect the date of birth. or I am missing something about the 'stress on' Date of birth field ?
I think TPAgreements may be of help to sort out such issues. Thank you, Mishra. ----- Original Message ----- From: "Robert Huffman" <[EMAIL PROTECTED]> To: "WEDI SNIP Transactions Workgroup List" <[EMAIL PROTECTED]> Sent: Friday, March 28, 2003 5:20 PM Subject: RE: TCS - Other Subscriber Required Data > Mishra, > > I thank you for your response, but you say nothing. I know what is required, the question is: If required data is not available what should one do? In my scenario, the hospital does not know the birthdate of the subscriber (remember the subscriber is the at fault driver in the accident - as another twist let's assume that the other subscriber will not speak to the hospital on advice from his attorney). Should the hospital send loop 2320 with missing data? > > Bob > > -----Original Message----- > From: Manohar [mailto:[EMAIL PROTECTED] > Sent: Fri 3/28/2003 5:23 AM > To: WEDI SNIP Transactions Workgroup List > Cc: > Subject: Re: TCS - Other Subscriber Required Data > > > > Hi, > > Date of Birth is required element in Required Segment DMG , which is present > in Situational loop 2320. > If you decide to send loop 2320 , you will have to send Date of Birth. > > Thank you, > Mishra. > > ----- Original Message ----- > From: "Robert Huffman" <[EMAIL PROTECTED]> > To: "WEDI SNIP Transactions Workgroup List" > <[EMAIL PROTECTED]> > Sent: Thursday, March 27, 2003 9:49 PM > Subject: TCS - Other Subscriber Required Data > > > > Fellow HIPAAsters' > > > > > > I have a question for the group on recommended solutions when trying to > create HIPAA transactions without all of the Required Data. > > > > The problem: A traffic accident occurs and a patient is admitted to the > hospital. Two cars involved and the accident is caused by one driver > rearending another automobile, the driver of the first car is hospitalized > and the insurance company of the second driver is responsible. When the > 837-I is created one payer is the patient's healthcare insurance, the other > driver's automobile insurance is sent using "other subscriber" using loops > 2320 and 2330 however the hospital does not know the birthdate of that other > driver. What should we do since the birthdate is required and we do not > have that information. Should we not send those loops at all? or should we > send the loops with missing data? > > > > Bob Huffman > > CTG HealthCare Solutions > > > > > > > > N24z˻r ry j NDzȞʶ+y z z ʶ؉ۖ'vwzˮ)z ؾ' j倷|8yˮɭa!#<청 > > Ȗ*ʋ*綶ya!#<j > jǶ*y xNzXǾˢ鞋zu rzjYGx r늉~r'r vrۮz {&zz{j ~zƭz{碻zˢvrxj؝+湪rz{ ˱m > ڞƶ*jzjj)d{nlj+ˢڅn R{nlj& 碸uǦjyjy iퟀ���{ 뎖+!wv ˱m *˭zf镧 رjy˧ > ry۶˕z &I&~j > r{渊 > > --- > 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 > > > N4zrryjNyzz¶vzz j|y!<ʪy!<jjyNzzurzjr~rrvrz{zj~zzzrjrzʱmjjjnnRnbujjyi !vmzjyryz~jr{沊 --- 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
