The payer of last resort is the appropriate state Medicaid agency or Indian Health Services, but not Medicare. While it is possible for Medicare to be the Tertiary payer, they would never be the payer of last resort.
Tom Drinkard EDIT, Inc. [EMAIL PROTECTED] (678) 795-1251 (voice) (775) 458-6117 (fax) -----Original Message----- From: Peterson [mailto:Peterson] Sent: Friday, May 30, 2003 5:49 PM To: WEDI SNIP Transactions Workgroup List Subject: RE: Question regarding SBR segment: Other Subscriber information Loop 2320 I have heard that Medicare only wants a "T" because they are the payer of last resort, but if Medicare is the only payer and therefore the payer of last resort, putting in a "T" gets me an error, for most software is looking for at least one other Payer with a "P". Anyone else run into this? Rolf Peterson Systems Analyst, Clinic Applications - Allina IS -----Original Message----- From: Kepa Zubeldia [mailto:[EMAIL PROTECTED] Sent: Thursday, May 29, 2003 1:23 PM To: WEDI SNIP Transactions Workgroup List Subject: Re: Question regarding SBR segment: Other Subscriber information Loop 2320 The guidance from X12 on this topic is that you use: - P for the primary payer - S for the secondary payer - T for ALL subsequent payers, including also the payer of "last resort" such as Medicaid. So the sequence P S T T T would be the one to use instead of P S S S S or even P S S S T as you suggest. Kepa Zubeldia Claredi On Tuesday 27 May 2003 10:44 am, [EMAIL PROTECTED] wrote: > The SBR segment for Other subscriber information field 1 has three > choices (P - Primary, S -Secondary, T- Tertiary) and this segment > repeats 10 time. Does the 3 choices mean we only create two SBR > segments at this Loop (2320)? What if there is a fourth insurance > plan or program? > > If new need to create up to 10 SBR segments, do you use P and T only > once and S on the rest of the SBR segments? > --- 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 --- 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
