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ASC X12 Requests for Interpretation

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1 ID DATA ELEMENT TYPE
2 Application Routing Reference in X12.5
3 Use of Fractional Values in R Data Type
4 INTERPRETATION OF X12.20 FUNCTIONAL ACKNOWLEDGMENT TRANSACTION SET (997)
5 GS/GE Segment Functional Group Control Numbers, X12.6 Application Control Structure
6 Truncating Numeric Data Elements N and R Data Types
7 DATA ELEMENT EXTENDED CODE DEFINITIONS
8 MEA Segment and Data Elements 737 and 738
9 Relations Between ISA and GS Segments
10 Usage of the Functional Groups
11 Usage of TXI Segment
12 Use of MEA Segment for Shipping Tolerances
13 INTERPRETATION OF X12 USAGE OF ACK01
14 HASH TOTALS
15 DESIGN RULE 2.1.3
16 Usage of the PLA and LX Segments
17 I08 INTERCHANGE DATE IN THE ISA SEGMENT
18 GS Segment and DE 479
19 ISA02 AND ISA04 CONTENT
20 REPORTING SYNTAX VIOLATIONS
21 SUPPRESSION OF LEADING AND TRAILING ZEROES IN TYPE R DECIMAL NUMBER
22 SEGMENT WITHOUT ELEMENTS
23 SEGMENT AND DATA ELEMENT DEFINITIONS
24 DATA ELEMENT CODE VALUE UTILIZATION
25 Syntactic Ordering of HL Segments
26 VALUES IN THE GS SEGMENT
27 HL LOOP STRUCTURE IN TS 837
28 USE OF CARRIAGE RETURN LINE FEED
29 TDS SEGMENT IN TS 811
30 MODELING CICA SLOT CONSTRUCTS
31 HL SEGMENT CONTENT
32 ACCEPT OR REJECT ERRORS IN TS 820
33 VALUES IN ST02
34 ISA15 VALUES
35 USAGE OF THE ITD SEGMENT
36 MAXIMUM LENGTH OF BINARY DATA ELEMENT
37 LEADING SPACES IN AN TYPE DATA ELEMENTS
38 DATA ELEMENTS 235 AND 234
39 CICA TEMPLATES AND SUBCOMMITTEE DEVELOPMENT
40 USE OF THE W12 SEGMENT
41 999 MISSING SEGMENT / DATA ELEMENTS
42 999 IK5 Missing Code Value
43 997 Code Value for BIN/BDS Length Error
44 USE OF SEGMENT ENT
45 ISA14 (DE I13) CODES
46 TRAILING SPACES
47 Distinctions Between Code Values in Data Elements 620 and 621
48 999 Code Values
49 ACKNOWLEDGING X12 SEMANTIC NOTE VIOLATIONS
50 Interpretation for Use of Code Set from a Later Version
51 Meaning of Received 999 Transaction
52 Required vs Mandatory in Code Descriptions
53 Scope of TA1 Reporting
54 SE01 versus AK302 Data Length
55 Segments Data Elements of 997 When Reporting Error in ST02
56 Sending 997 and 999 Acknowledgments
57 Simple Data Elements 621 and 618
58 Transaction Set 997 versus 999
126 Intent of loop 2310D/N301
127 Outpatient principal procedure
129 corresponding DRG codes
130 835 No middle initial
131 Correct Patient/Insured Name
132 Trailing spaces in an
133 USE CLP06 TO FLAG ADMIN. CLMS?
134 835 Corrected Info
136 RPT Modifier Change on 835
137 835 v4010A1 claim vs. line
138 Negative amounts in AMT
142 837I - Number of LX segments
144 Subscriber and Patient Looping
145 Claim rejection level
146 837 Principal Procedure Info
147 276 claim status REF 1K
148 270-271 TRN requirement
149 Zero Pay Claim Payment Segment
150 HI Principal, Admitting, E-Cod
151 HI Other Diagnosis Information
152 Eligibility Response
154 837 Dental DTP Date Admission
155 ICD-9-CM Procedure Codes
156 SDV06 Required if bundled
157 INS data validation
159 HD data validation
160 Invalid/Missing Rejection Code
161 837P 2310A Entity Code
162 NM1 Service Provider Name
163 820 IG Loop 2000A ENT03 Value
164 2010AAREF BillProv 2nd ins id
166 Adjudication or Payment Date
167 Length of monetary fields
168 837I Loop 2300, segment HI02
169 Country Code (CLM11-5)
170 FLAG CLMS AS HIST-ONLY ADJUSTM
171 835 adjustment reason codes
172 837 - Multiple Primary Payers
173 Is CRC Segment Req'd if EPSDT?
174 proper use of prior payments
175 835 Insurance type and NPI
176 271 Eligibility Response
177 Subscriber DMG Requirement
179 Medicare Crossover Claims
181 835 - LX01
184 835 Capitation Encounters
185 835 Capitation+FFS Encounters
188 837 Prof - EPSDT
189 Secondary Id and the NPI (276)
192 Submitted vs Corrected Info
194 Subscriber INS segment on 270
195 Dependent INS segment on 270
196 Multiple CAS segments
200 Subscriber and Patient Claims
201 EB Segment EB08 interpretation
202 837 - COB Ex: Error - Amt Paid
203 RFI 832
205 271 - Coinsurance Amount
206 SECONDARY CLAIM ISSUE
207 835 CLP02
208 HIPAA Search Options for Elig
210 X093A1 2200D/E TRN, REF = LU
211 Approved use of the K3 Segment
212 277 Loop 2200E REF 1K
213 Group Code/Reason Code repeat
214 837P COB CAS information
215 271 -Sub/Dep Date
216 EQ Segments in both 2110C & D
217 835X091 TRN02 Uniqueness
219 2010A PER segment - PER01-03
220 Usage of SVC06 in 835
221 Inst Claims Proc Code Modifier
222 835 era negative pmts
223 REF*6R service line adjudicat.
224 4010A1 271 EB01 min required
225 4010 271 EB03 min required
227 Clarifiication 835 corr/rev
228 837 - Multiple Primary Payers
229 834 - Clarify Policy Number
231 278: Stringing PWK & MSG Text
232 Reporting Repricer as Payor
233 CLP06 contents
235 278 ADA Codes
237 Max use of other dx codes
238 835 NUBC codes
240 UID and the 835
243 278 Real time question
244 277 Service Date Required
246 276 inquiry results intention
247 2300 REF01=9F, 2310A presence
248 Should in Not Used
249 EB07 monetary amount issue
250 EB08 DE note
251 837D missing 2320 CAS segment.
252 4010A1 837P future DTP dates
253 WO PLB03-2 PROV ADJ ID INTERPR
254 2310B usage
255 837D 2010AA NM108=XX REF=TJ
256 2330A/C REF=SY when Medicare
257 2110C & D containing EQ
258 Payers Bundling TIN's ERA File
259 997 AK901 R vs P
260 2010AA vs 2310B information
261 837 Duplicate Transaction Ack
262 DMG segment in 277 2000D Loop
263 NM1*IL on Medicare/Medicaid
264 Zero reported in PLB06
265 837- 2300&2400 loops the same
266 Dest Payer vs Other Payer
270 Definition of RD8
271 Reporting refunds in the 835
272 Std 835 tran for HSA payments
273 Corrected Priority Payer
276 Corrected Claim/Total Charges
277 Zero reported in CAS Monetary
279 non-destination provider #s
280 835 and Consumer Driven Health
281 0 Paid Amount
282 276 2100D NM101/NM102 QC and 2
283 837P X098A1 Purchased Services
284 NEI 820 IG 4010
285 Follow-up to HIR 284 - NEI
286 837P - Billing/Rendering Prov
287 Interest reported on the 835
288 Reprocessed reversed claims
289 Reporting revenue code in 835
290 834 Loop 2310 REF01 qualifier
291 file 2nd clm when capitated pr
292 Approved vs Allowed Amount
294 Provider Credentials
296 SVC07=1
298 EQ segment in a 270
299 Medicare Provider ID
300 Anesthesia Start/Stop Time
303 SVC01_02 reported as blank
304 CLP and NM1 no data reported
305 Claim Level Purch. Serv. Prov
306 Payer Claim Number
307 Posting Coins and Ded -835
308 Tooth Number -835
310 STC deductible reporting
313 NPI Dual Identifiers on 835's?
314 348/349 benefit begin/end
315 APPROVED AM0UNT FOR 837
316 348 benefit begin Date
319 835 Adjustment/Reversal
320 Uses of the 270/271
321 837 fields required in 835
322 Repeating HI Segments - 837I
323 TS320
325 PLB 72 Payor prev refunded ck
326 834 2100A AMT
327 Use of NTE for Denial Desc.
328 Reporting Non-Destination #s
329 Benefit Change End Date
332 CLP06 Usage
335 Pricing Methodology
339 Invalid ISA segment
340 HCP02 Allowed Amount
341 835 - EFT Data/$ Reassociation
342 Active/Inactive Coverage
343 837P - 2420E N3/N4
344 CAS Zero Dollar Amount
345 2420A without a 2310B
347 X12 837 4010 K3 segments
348 Editing for P or T in ISA15
349 835 - Balancing IME Amounts
351 Future Dates
352 which qualifier for 835 BPR01
353 Service line Service Facility
355 Min length of nm109 not met
357 Use of 17 in REF 2000 loop
358 835 CAS segments
360 Allowed/Covered Amount
362 Control Numbers in Envelopes
363 2310C Loop Interpretation
364 Dual use of NPI & Legacy ID
366 proc codes inbound missing/inv
367 Government entity receives SSN
369 837P 2420E Required for DMERC
370 276-Bill type REF Req'd on I?
372 Charge increase on 835
374 Leading Space in AN element
376 837I 2330H
377 Use of the K3 segment in 837
380 MEdicare Part D / RDS in 834
382 Service Line Paid in Full
386 Units of Service in 4010A1 835
387 Patient Responsibility and COB
389 Breaking up 270 requests
390 837I-X096A1-HI=BK HI0201 check
391 DRG reporting
393 TDI inquiry re: 2310A
395 Altering Source Data
396 Zero patient responsibility
397 REF Functional Equivalence
398 278 Hlthcare Svcs Review-NPI
399 Paid Units in Bundling
400 837 NPI Returned on 835 NPI?
403 EB01=U
404 TRN segment handling
405 COB Payer Paid Amounts
406 271 Returning Other Payer
407 Origin and Destination
410 subscriber dependent loop
411 DRG Weight Requirement
412 270/271 SSN Lookup
413 837-PER Segment-Telephone Ext
414 837-PER Segment-Email Address
415 Group/Policy Number Reporting
417 LX segment in 835 transaction
418 835 crossovers
419 CLP01 pt control number
420 820 5010X218 2000A & 2000B ENT
421 DTP01 qualifiers 356 and 357
422 Claim Level Remark Codes
423 Loop 2310D 837P 004010A1
424 835 Capitated Services
426 SVD segment when code is NDC
427 835 Periodic Interim Payments
428 NDC 5-4-2 Format
432 277 Transaction Rejections
433 Diagnosis Code Pointers
434 Revenue codes
435 2430 SVD and 2320 AMT
436 835 Using Remark Codes
437 Pended claim /ERA
438 proprietary codes
439 HSD Segment in 271 and 837
440 Usage of Loop 2310B
441 s277 2220E SVC and STC
442 Insured Name When Same as Pat.
443 BPR10 Interpretation
444 BPR01 Interpretation
445 Split Claims with DRGs
447 271 2100A AAA03=80 code usage
448 835 - identifying HC product
449 Loop 2300 REF (PA/Referral)
451 NPI in the 835 PLB01?
452 payment balancing
453 2300 CLM Net
454 Claim Splitting
455 Claim Level Adjustments
456 NM1*IL on Medicare/Medicaid
457 CLP02 - Is 5 allowed?
458 837I IG/standard discrepancy
459 Credit card payment in the 835
460 271 2100C.AAA03
461 NPI professional claims
463 BPR11/TRN04
465 278 NPI Implementation 2010E
467 835 Split Service Line
469 Loop 2310A Referring Provider
470 277U version
471 Length of Medical Necessity
472 Require NPI & TaxID in 835
473 BPR04 & BPR09
474 Claim Splitting and COB
475 835s and RX numbers for 837s
476 E-Code in HI0202 Admit/Patient
477 HLs numbered across ST/SEs
479 835 Transaction - NPI usage
480 Balancing of CLP04 Element
482 CLP05 Balancing
484 PLB03-2 Reference Identifier
488 837,278
489 837
490 CLP and NM1 segments are empty
491 835 - Reference Code 'E9'
492 AMT=NE > than CLM02?
494 HCPCS in 837I outpatient claim
495 Secondary Claim and Bundling
496 Secondary Clm & Bundling 2
497 Rptg Secondary Unbundled clms
498 Line Ctrl # on Unbundled Line
499 835 CAS03
500 837 issue
501 837i 2310E
503 CAS PR
504 CLP01 not identical to claim
505 Payer TPL reporting
506 Other Payer ID for COB
507 Medicare allowed amount blanks
508 Active & Inactive eligibility
509 2310C Interpretation
510 RARCs in 835 reversals
511 Present on Admission Indicator
512 4010X093A1 2100C SV
513 Provider site id
515 270/271 NPI/taxonomy
516 276/277 Taxonomy Code
517 Medi-Cal 270/271 DTP Required
521 271 co-pay not flat $ amt
522 835 Balances and impact on COB
523 Providing Correct Member - 271
524 Use of the 2430 SVD segment
525 CLM01&CLP01 Not Equal
526 service facility
527 IG Interpretation 4010/4010A
528 loop 2310e when p.o.s=home
529 Where to put the NPI in 835
531 SVD - Multiple
532 Interpretation of TL PLB adj
533 Attending Physician 2310A
535 Account Number in 835
536 Referring Provider NPI
537 E-Codes and Diag Pointers
538 Supervising Provider Usage
539 Obligated to Accept
540 820 - Loops 2000A and 2000B
541 ATTENDING PHYSICIAN SPECIALTY
542 271 EB & AAA response
546 835 CLP02 Claim Status Code
547 NPI with EIN and SSN
548 Nurse Pract/Phys Asst Claims
550 271 with Multiple 2000C Loops
551 CRC 02 indicator N
552 837 Taxonomy Code
553 Entity Reporting
554 835 SVC01, 04, and 06
557 Final Claim Adjustment
558 835 reason code text
559 Claim Remark Codes
560 Claim Level Remarks
561 Present On Admission Indicator
564 CLP08?
566 Order of REF segments
567 Request usage for K3 segment
569 NPI clarification
570 GS08 on 997 transaction
571 837I Pay To
572 DE 1365-Serv Type cd(PET SCAN)
574 Referring provider number
575 276/277 vs. DDE Information
577 Bundling from history
578 835 Prov level adjust - recoup
579 Non-entity using a SSN
580 PLB - WO vs. FB
581 NUBC manual value code usage
582 Submitting a batch for the 278
583 Reporting Inactive
584 2010BC REF '2U' usage
585 Batch response
589 Pay-to provider field 837I
590 277 4010 Multiple 2100C loops
591 NDC Unit of Measure CTP05
592 Drug code missing or invalid
593 278 response in timely manner
594 835 Reassociation Key
595 270 Batch Maximum Patients
598 VA Institutional Claims
600 Zip Code Validation
601 Missing Date of Service
602 X098 Pay-To Provider
603 Diagnosis Codes in 837I
604 TRN02 = 0000000 when BPR02 = 0
605 STC05 Zero Dollar
606 Claim Filing Indicator Code
607 SVC Segment
608 2310E NM1 SVC Facility Name
610 HL Parent/Child relationship
611 SVC Segment
613 Per Segment - 0000000000 in 04
614 837I - QTY on Outpatient Claim
615 Write off overpayment recovery
616 835 reporting J-codes and NDC
617 Diagnosis Code requirement
618 835 Line Level CAS Segments
621 Claim Estimate Indicator
622 837P Encounters vs. FFS
623 Unbundling SVC Segments
624 CLM Alphanumeric
626 835 COB Secondary Payer
627 Ambulance number of Patients
628 State of Claim Jurisdiction
629 Field in 837 for identificatio
631 Loop 2310B REF with NPI in NM1
632 Subst ID/name for 2ndary Prov
633 K3 Segment in Loop 2300
634 270 / 271 Transactions
635 Clarification on 'Required'
636 276: Define ETIN in 2100B
637 Greater than 3 payers
638 Send tooth information in K3
640 CPT Code line amounts
642 HRA Payments
643 Allowed/Approved/Covered AMT
645 CAS*CO*45 v. CAS*OA*94
646 2400 CR3 DME Certification
647 Return Req Date in 2100C Loop
648 Dental Service Dates in 277
649 278 and NPI
650 Use of Hex Characters in 835s
651 837P SBR NM108/NM109 Grey Rule
652 Provider Secondary ID's
654 835 TRN02 for non-payments
655 Patient Paid Amount
656 Claim Versus Service CR2
657 NPI Requirement in the 835
659 IRS Witholding
663 Provider Taxonomy and NPI
664 P&C claim number required
665 2120 Loop - NM1 Required??
666 Claim Filing Indicator ZZ
667 Multiple Interchange Envelopes
669 Terminator & Carriage Return
672 Reporting MEA Test Results
673 2410 CTP03 4010X098A1
674 E code reporting
675 Purchased Service Charges
677 2410 LIN Segment Repeat
678 TIN in 2310b loop
680 ERA - CLP05 balancing
681 ERA - CLP05 copay
682 Loop 2420A REF*SY
683 Deductible Dates
684 Rendering Provider ID
689 Claim verses line CAS segments
690 Clarification of 997 for 835's
691 835 Duplicate CARC GR w/in seg
694 One CARC w/ Multiple Grp codes
695 CLP06 correct assigment of
696 BPR05, VALID VALUES
697 Corr Priority Payer Name Use
698 Zip code reporting
699 Multiple in-network tiers
700 Compound Drug Reporting in 837
701 BPR11 without BPR10
703 NPI validation for provider
710 834 - 2300 HD03 Codes
711 834 - 2300 AMT01 Added Codes
715 835 - OH House Bill125
716 Tax amount placement
717 Tax Amount Placement Inst
718 Substance Abuse - in/out pat.
719 Tiered Co-insurance
723 Control Numbers in Interchange
724 LQ Segment Remark Codes
725 835 DTM
726 004010X091A1 CAS Claim / PLB
727 Billing Secondary 837 Claims
728 Multiple Patient Requests 276
729 837P X222 2300/2400 CR1
732 5010 835 Healthcare Policy ID
733 5010X217 278 2010B NM1
735 837D N403 - 5 or 9 digit Zip
736 Late Submissions and 835s
738 835 Forward Balance repetition
739 Subscriber Not Found in 5010
740 REF01, Loop 1000B, Requirement
742 Code set 897 in 5010 X220 -834
748 5010 2330B
750 Other Payer and Member Info
751 5010 Other Payer and Member In
753 BHT03
754 997 vs 999 Ack. in 5010
757 278-Info Source/Info Receiver
758 835 unexpected refund
759 835 - Insured Name
763 SVC01-01: No ICD9 in 277/835?
764 Reporting Member Dates in 834
767 Intent of the Pay-To-Provider
768 278 - SV2 Revenue Code Usage
769 TRN Usage in 270
770 278 Response-Removing Segments
772 Pay-to name
774 5010 271 EB12=W usage
775 278 Request vs Response Fields
776 837P AMT 2320 & 2400 Segments
777 Addresses in the 837P v5010
778 Addresses in the 837I v5010
779 Addresses in the 837D v5010
780 Use of ST03 in 005010 835 TR3
781 CLP04 & Prompt Payment Disc
783 276 Medical Record number
784 837D line item qualifiers
785 Out of Pocket Amt
786 5010 834 L2100B DMG - Codes?
787 5010 276 2100C Loop Tax ID
788 Taxonomy code on 837p
791 835 Reversals and Corrections
792 Supplemental IDs Post-NPI
793 CMS Contract ID on 271
794 CODE INTERPRETATION
795 Implemeting POA for 5010
797 X12 278 Requestor Name
798 Interpretation to LU qualifier
799 BPR02 Monetary Amount 5010
801 Group Name in 271 Response
802 835 Tax amounts
803 Status Today vs. Full History
805 Claim not Found
806 2330B Other Payer Secondary ID
807 P&C Patient Identifiers
811 837 - copay in NTE segment
812 999 scope issue
813 Out Of Pocket waiver
815 5010X217 278 2000E Loop
816 271, NM110 Entiry Relationship
817 5010 278 Code source 886
818 278 CR6 Product/Service ID
819 CLP06 Reporting for Blue Plans
820 837P 5010 Anesthesia time
824 Full file replace and terms
825 835 Receiver Identification Qf
826 835 QTY VS and PS values
827 5010 837I anesthesia times
829 CLP02 interpretation for payer
830 835 reversal and correction
831 Residential Psych Treatment
832 276 - Gender Code
833 HIPAA 5010 Service Types
835 Confusing lang in Sec 1.4.2
842 Use of LX segment in 834
843 Prov. Proprietary IDs
844 Provider Proprietary IDs
845 271, Passing Member Deductible
846 REF*D9 - Max Length
847 271, N3 - SUBSCRIBER ADDRESS
848 270/271 Out of Pocket
849 HIPAA 5010 270/271 INS Segment
850 PER segment - telephone number
851 Medicare Assignment Indicator
852 Pharm Prescription No 276/277
854 PRV usage in loop 2000A
855 Purpose of Confidentiality Cde
856 ICD9/ICD10, decimal inclusion
857 Front Matter COB use of 2010BB
860 CMN
861 TR3 Code Source Not In X12 Std
862 Listed Code Source Not Used
864 820 transaction
867 277CA Total Submitted Charges
868 278 Response - AAA and HCR seg
870 Balancing
871 Group Code PR
874 835-Hosp vs. Physician claim
875 999 Examples
876 Entity ID Code for STC in 277
877 200E/200F when separate certs
878 834 Medicare Effective Dates
879 ClaimStatusCode for Late Claim
881 OOP Response Formatting
882 ICD9 and ICD10
883 BPR Segment
884 278 Patient Event Level Resp
885 ADX segment -Previous Payment
886 Definitions of DTP codes
887 278 2000F-Service level resp
888 2110 B6 Amount Allowed Actual
889 Takeback & Recovery
890 834-DTP01-2300
892 5010 837i Discharge hour
893 Using REPEATING DATA ELEMENT
894 Not using Repeating Elements
895 270/271 colonoscopies coding
896 Provider submitted refunds
898 005010X279-271-EB3 Repeat
899 837I 5010 2310A Attending Prov
900 SVC01-7
901 Advanced Billing Concept Codes
902 Advanced Billing Concept Codes
903 Attending Provider rules
904 5010 277-Entity Identif. code
906 835 PLB IRS Withholding
907 Medicaid EPSDT Indicator Usage
908 837P 5010 Situational notes
909 837I Svc Facility & Billing PV
910 Use of patient account number
911 5010 837P CRC Ambulance Cert
913 837D 5010 Request for K3 Use
914 HIPAA 5010 835 requirements
916 5010 837I 2400 DTP
918 270 5010 DTP Segment Use
919 824 ACK for 5010 820 trans
920 Returning 837P trace in a 835
922 270 2100D INS
923 271 X279 Other Payer reqt
924 Release of information
925 Use of EB11 (271 2110C/D)
929 validation of zip codes
930 COBRA Continuation Coverage
931 2400 LOOP SV107 - 2 - 4010
933 Clarification request, #802
936 2300:HI01-2 (HI01-1 = DR)
938 Service Facility - Home Visits
940 Billing Prov Zip+4 837 I/P
941 HCR in 5010X217
942 278 Response 5010X217
943 278 2000F Loop Limit
946 Free Form messages in the 835
947 MIA from Secondary Payers
949 5010X224A1 LX Repeat
950 Employer #
951 Usage of INS04=25 in 271
952 Eligibility 270 Date
954 Denied clm on 835 w/CO45
955 835 5010 - QTY Loop 2100
958 835 SVC07 for split lines
959 278 Response Inconsistencies
960 276/277 Trace Number
963 Corrected Priority Payer Name
967 Unbundling Sales Tax
968 835 5010 TR3
970 5010 271 PCP
971 5010 271 Minimum Response
974 Use of "Unknown"
975 X12 5010 271 2100C INS Use
976 Verify use of CO clm nc denied
977 1.4.7.1 # 5 PCP if applicable
978 837 Dental Modifiers
980 5010 837 Loop 2430 Repeat
981 New 835 NM1*74 5010 Rules
982 5010 837 Line Item Referral No
984 Investigational Device
985 Patient Responsibility
986 Loop 2310D + E request
987 Proprietary Location ID
988 Interest owed to payer
989 Zip Code Examples in 837P
990 270/271 5010 Section 1.4.9
991 005010x279 MSG segment usages
992 005010X279 MSG Segment Usages
993 Sequence of REF Prior Auth Seg
994 First iteration PER sit. rule
995 5010 Basic Character Set
997 Multiple Medical Policy URLs
998 Clarification of HIR 277
999 5 Char APR-DRG in 835
1000 SVC06 - Modifier Change
1001 278 Non-EDI Response in 5010
1002 5010 Implementaion Query
1003 Lopp2300:CLM05
1004 Loop2300
1005 Loop2300:HI
1006 2320 and 2400
1007 Service Location on 837P
1008 271 TR3 Possible Discrepancy
1010 SVD05 format
1012 Other Subscriber Info 835
1013 Claim Level Refunds in 5010
1014 ISA15 in 997 5010X230
1015 Loop 2300, New HI Segment
1016 Data Element ISA12
1019 Negative Amounts in CLP05
1020 270 2100B REF01=HPI post NPI
1021 REF D9
1022 Multiple use of 2120C/D NM1
1023 837P Anesth Billing requiremen
1024 Limiting R/T 276 requests
1025 271 5010 PRV02 and PRV03
1026 837I 2ary Subscriber SSN
1027 OI05 in lieu of CLM07?
1028 835 Clm Processing for CCF acc
1030 CLM07 Usage
1032 Extension/Revised Definition
1033 Claim Overpayment Recovery
1034 835 claim adj vs svc adj
1035 5010X217 278 2010F/2010FA NM1
1036 Pay-To-Plan Loop 2010AC
1038 40 & 5010 835's for one tax ID
1042 2300 CRC03 Codes
1043 HIPPS codes in 837I
1044 5010 repeating data elements
1046 Repriced Approved Revenue Code
1047 "If Not Required" Clarificatio
1048 837P - require 2330B REF*F8
1049 Medicare Supplemental 270/271
1050 Date of Service in Dental Clai
1052 Requirement of elements
1053 837 Professional Balancing
1054 5010 DTM Claim Received Date
1055 MOA02 HCPC Payable Amount
1056 Multiple Denial Reasons
1057 5010_278_review
1058 835 Usage of SVC07
1059 276/277 - AMT 2200D/E Loops
1060 4010 837 Prov gets 5010 835
1061 278 X217 Use of the 2000 UM01
1062 834 - Identification Code
1063 Basic Character Set - X222A1
1065 Tooth information for 837P
1066 PLB03-2 Ref ID for FB
1067 Inactive Covered Individuals
1068 References to component data e
1069 270 query and search guidance
1070 837I SVD03/SVD04
1072 Section 1.4.5 - 005010X222
1073 Correct Patient/Insured Name
1074 PWK Repeat Claim & Line Level
1075 detail from the 999 in 277A
1076 MIA/MOA & split claims
1078 005010X212 Clrnghouse Trace #
1079 Claim Status Code
1080 005010X212 BHT03
1081 SV206 - Accomodation revenue c
1082 835 Overpayment Compliancy
1083 response for service code 30
1087 Doc issue found in 999/TA1 TR3
1088 277 Detail Status Response
1089 Requests for Additional Info
1090 Definition of Episode of Care
1091 5010X217 278 Procedure Lines
1093 Multiple Attending Providers
1094 Ambulance Facility NPI Missing
1095 Patient reason for visit
1100 1.4.7.1 Item 8 and 9
1102 277CA Use of TRN
1103 1.4.8 Alt Search Options
1104 Absence of ICD codes in 835
1105 837P Svc Referral Nbr Repeat
1106 5010 835-Reversal CARC usage
1107 Payto Plan Tax Id
1108 FSAR restrictions
1109 Clarification on HIR 1060
1110 Anesthesia Claim Definition
1111 837P
1112 OHI Interpretation in 5010
1114 835 PLB Reference ID's
1115 837P COB claim balancing
1116 837I Patient Paid Amount
1120 Notes on AAA 58 & 71
1122 834 2100A/N3 Situational Rule
1123 270/271 5010 Section 1.4.7.1
1126 Other Subscriber Relationship
1128 834 QTY Segment
1130 837P, I, D CN1 Segment
1135 One or Two Remits
1136 4010 NTE Segments in 837
1137 COB balancing on 837s
1138 Value of ISA11
1139 ST02 Tr. Control Number
1140 New Repetition Separator
1143 1.4.7.1 Individual is located
1144 NPI requirement in 834 Lp 2310
1145 278X217 Loop 2010EA NM101
1146 5010 278X217 2010EA REF
1147 CAS01
1149 EB01=D usage in 271 response
1150 Other Payer Group Information
1151 SBR01 - Payer Sequence Code
1154 278X217 2010C REF01
1155 LIN segment - 837 Professional
1156 Interpretation of 2310D usage
1157 835 SVC07 to 3 Decimals
1158 276 5010 REF*LU segment
1159 835 service/rendering provider
1167 Purpose of 'ADX' segment?
1168 Combination maps for ICD-10
1169 Service ID Qualifier
1171 Use of Repricer Received Date
1173 Followup to HIR 1076
1174 Local Codes used by multipayer
1175 Multiple 837Is per Patient
1176 278X217 2000E CRC02
1178 278 - PER03
1179 278X217 2000E CL104
1182 5010 837I 2320/AMT02 allow 0?
1184 2010CA REF Errata 837 5010
1186 5010 270 271 Plan Date
1188 837I 5010 LOOP 2320 SEGMENT OI
1190 The use of "OT" Insurance Type
1192 837P - LQ02 - Form ID Code
1196 835 Payer web site rule
1197 How does a provider know
1200 835 Claim Overpayment Recovery
1203 Rate-up amount on X12 834
1204 837I - Multi LIN, rev code 250
1205 835 Service Date
1207 Component Sep & Segment Termin
1208 276 005010x212 2210D/DTP
1209 SVC_01_01 equals NU with HCPCS
1210 Subpart Definition 2310C NM1
1211 277CA STC Questions
1212 277 NM1/TRN realtionship
1213 278 Response Loop 2000E
1216 278Auth - (X217) 2010EB/2010EC
1217 835 Reversal and Corrections
1219 835 Splitting CPT
1220 Clarify 5010 999 ack
1221 278X217 2010C, NM106
1222 5010 278X217 Military Rank
1224 5010 278X217 DTP Onset of Ill
1225 5010 278X217 HCR01
1230 ICD Proc code 835 impact
1231 Medicaid - PCP Name 271
1232 837 Dental 2000A PRV
1233 MSP SVD3-03 requirements
1234 Time of event in 278
1235 5010 278X217 Admission Review
1238 5010 835 QTY and Reversals
1239 5010 835 Cov Expiration Date
1240 278X217 UM02 Reconsideration
1242 837I HCPCS qualifier deleted
1243 Source of 359 Treatment Codes
1244 576 Workers Compensation Codes
1253 837I 2330I
1254 4010/5010 271 2100c PER Seg
1255 5010X217 278 Rqst 2000E CR607
1256 Patient's Reason for Visit
1257 Reporting unrecognized segment
1270 5010 835 2100 Rendering Prov
1272 270/271 TRN conflict
1273 GS Segment Repeat 837 vs 277CA
1274 278 PER
1275 271 when source system is down
1278 5010 837 Claim & CCN/DCN
1279 835 SVC05/07 usage for IP
1280 837I 4010 to 5010 crosswalk
1281 271 Pre-existing Condition
1283 Discharge Date ICD-10
1285 IRC3402 3% Withholding on 835
1286 5010 837P line level provider
1287 HIPAA Code Set Violation - DME
1288 2110 DTM for predeterminations
1289 276/277 NPI use
1290 CRC03 duplicate indicator
1291 834 ID supplemental benefit
1292 276/277 4010 2100C NM108
1293 EDI Primary Search Option
1294 837I 5010 COB Claim Balancing
1295 270 Clarification on 2.2.1.1
1296 270/271 Clarification Not Used
1297 NDC and HCPCS conversions
1299 271 TRN03 Response
1301 837 2010AA NM109 2010BB REF
1302 278X217 Service Level
1304 837D quantity and tooth number
1308 1000 A PER segment usage TX
1309 999 ACK - AK9
1310 ADA codes on the 837I
1311 999/CTX Context
1312 999/CTX - Business Unit
1313 1.4.7.1 Minimum Req 270/271
1314 5010 Errata 999 on 276 Req?
1316 INS09 usage based on INS02
1317 835 Insured Identifier
1318 834 - ICD Codes
1319 834 2100B DMG06
1320 834 Address lines
1321 834 Provider ID in 2310\NM1
1323 More than 4 modifiers
1324 Interest & PLB on 5010 835
1325 278X217 2010C N403 Postal Code
1326 Entity Identifier Codes
1327 Medicare CCN
1330 Values in the 999 GS08/ST03
1331 277CA 2200C and 2000D loops
1332 277CA 2200C STC
1333 SV103 F2 from 4010 to 5010
1334 Clarification on AMT A8
1336 CN1 for non-HIPAA use
1338 Search on MID only
1339 997/999 error for invalid ST
1341 HSA CAS segments
1342 Transaction vs Lading No
1350 835 v4010A due from patient
1352 5010 837 - HI Segments
1353 Coordination of benefits
1354 Element inclusion on 270
1355 INS07 and INS05 dependency
1356 834 loop 2200
1358 1.4.7.1 #8 Compliance Question
1360 837D 5010 Zip + 4 workaround
1363 Eligibility/benefit interpret
1364 837 2010AB Usage Rule
1365 Partial Medicare Data on 834
1366 SV107 Duplicate Pointers
1367 Negative Amount
1368 Invoice Numbers and Looping
1369 CLM07 for Medicare Claim
1370 Healthcare Policy ID
1371 278X217 Service Loop Count
1373 278 AAA Action Code
1374 PLB Overpayment Recovery
1375 Use of TP or BP in OTI01
1377 5010 837P Loop 2310C
1378 5010 270/271 Subscriber Addres
1379 Accept Assignment CLM 07
1381 271 REF Q4 and INS Dependent
1382 277- Usage of STC10 and STC11
1383 CLP09 Situational Rule
1385 Returned Checks
1386 Overpayment Recovery
1391 2320 AMT*EAF*0.00
1392 Claim Received Date Rule
1394 POS12 and Facility Info
1395 EB11 and 2120 NM1 SR
1397 ANSI 837P ZIP CODE LENGTH
1398 SVD05 R Type = 1.0
1399 Jurisdictional state 5010
1400 270 Subscriber/ Dependent DTP
1401 834 2320 REF
1402 005010X223A2 DTP 2300 vs 2400
1403 HCP Segment
1404 834 Country Code
1405 unbundling discrepancy
1406 278 Administrative Ref. Number
1407 835 Class of Contract REF CE
1408 277CA claim date for POB
1409 2000C/PAT01 - Qualifier Ques
1410 271: 2100C/NM103 Req'd Unless
1412 TR2/TR3 relationship
1413 Interpretation of EQ05 in 270
1414 Rejecting non-compliant transa
1416 2320 - Other Payer Clarificati
1417 2400 LOOP SV107 - 2 - 5010
1418 Multiple POB Numbers on servic
1419 5010 837I 2320 AMT*D
1420 276-REF*FJ - Service Line Item
1422 Repeating EB03
1423 835 CLP02: Claim Status Code 4
1424 5010 271 EB11 Pre-Cert
1426 Provider Contract Plan ID
1427 Fatal error ISA validation
1428 2310C FACILITY NPI 837P 5010
1429 CAS required on backed out cla
1431 Limit of INS Segment in 834
1432 HI Segment in 005010X215
1435 5010 837i DOS for TOB 12x
1436 Outlier payments and CAS seg
1437 Domestic Phone # Format
1438 AK203 value in 999
1439 5010 837i DOS for OP
1440 CarveOut for Act/Inact ST 271
1441 278 date for ICD-9/ICD-10
1442 Part A Outpatient Service Line
1445 835 AdjRsn 78
1446 835 Split Claim Adjustments
1447 999 CTX Context
1448 5010 837P E-Code
1449 837P ADMISSION DATE FOR SNF
1450 837P DTP Prescription Date
1451 Restriction of PO Box use
1452 DRS BORDERS NEEDS HELP ON 5010
1453 5010 - 999 Problem
1454 Check or Remittance Date
1455 835 Service Line Reversal
1456 835 Reversal of units
1457 2010AA PO Box prohibition
1458 Identifying Information Source
1459 837P 2330B NM109 2420D REF0402
1460 837 COB CAS adjustments
1461 2010BA Addr rejects
1462 820 BPR Segment
1463 age tiered benefits
1464 837P/837I- SV101-7 Description
1465 277CA v5010X214 STC12
1467 Procedure Code Description
1468 835 Sales Tax 5010
1469 DTP - File Effective Date
1470 CHK in BPR for EFT payment
1473 Tier Benefit - Visit Maximums
1475 5010 837I Rendering Issue
1477 non-scheduled transportation ?
1478 E-codes in the HIXX Note
1479 005010X223 - Admit Date
1480 5010 Billing Provider NPI
1481 2100D N3 N4 required 5010 271?
1484 Address/ZIP for POS code
1485 835 duplicate modifier
1486 5010x223A2 - Admission Date
1488 Bad Debt/Charity pat resp 835
1489 2310B NM1 supporting role
1491 837 'un-sequenced' subloops
1492 835 Other Subscriber
1493 Code Usage TR2 Clarification
1494 837I 5010A2 2400 SV202-7
1495 005010x223A1 Loop 2300 DTP*435
1496 2010BA N3 N4 segments w/ 2000C
1497 Error Condition Codes
1498 Trailing Delimiters and 999
1499 Equivalent Values in DE 756
1500 Empty Trailing Separators
1501 balance multi 837P SVD loops
1502 Require referring provider
1503 837P CRC Hospice Employee Ind.
1505 2310C/2310D Dupe Info
1506 Service Date on 837I
1507 COB Split Claim Line in 837
1508 Multiple SVD Loops
1510 Elig Outpatient Surgical Codes
1511 TCN for mixed 837s
1512 Insurance TR3s And Rejections
1515 2320 Remaining Patient Liabili
1516 005010X212 - PreDetermination
1517 Clarification AMT*EAF
1518 MACSIS Hlth 5010 835 Takebacks
1519 Claims for both Sub and Dep
1520 837I 5010 Admission Date
1521 Remaining Pat Liability 999?
1522 837P - 2010AB Pay-to Address
1523 Validating non-medical codes
1524 5010 2300 HI DRG
1526 Section B.1.1.3.1.2 Decimal
1527 Submission of Late Charges
1528 Medicare Supp Deductable
1531 Rendering Providers in 837P
1532 2430 CAS question
1533 837 Zip Code Formats -N4
1534 HIPPS codes for HH/IRF
1535 837D COB & Hlth Plan req 2430
1536 5010 2310A usage clarification
1537 5010 2310E usage clarification
1538 5010\837I\2300\CLM05-3 and REF
1539 837I/UB Manual Relationship
1540 278 Response AAA errors
1543 003020 861 structure
1545 Accident Hour in 837I
1546 Srvc line referring provider
1547 999 application validation and
1549 837I/P 2410 LIN
1550 Patient Financial Info
1551 Unbundled Services, Balancing
1554 Product/Service ID Qualifier
1555 Line Level Balancing
1556 Medicare B Crossover 5010 835
1557 1.4.7.1 271 requirements- DTP
1558 5010 SBR09
1559 005010X221A1 1000B Payee
1560 Member's Address on 271
1562 Clarify Section 1.12.5
1563 Service Line Description & NDC
1564 Payer Sequence
1565 837 2320 CAS OA 225 Interest
1566 270/271 - OOP variations
1567 Loop 2400 SV111 005010X222A1
1569 Situational Cond. Truth Source
1570 TR3 clarification Request
1571 Billing of Anesthesia Time
1572 N3/N4 pairing
1573 5010 835 CARC 27 on Reversal
1575 Report Missing Data 277CA
1578 835 claim versus line dates
1581 BPR Informational Only
1582 Repeat of File Effective Date
1583 Loop 2320 AMT01=D
1584 REF- Prior Authorization 837I
1585 Reporting multi ISAs in a 999
1587 270 EQ Syntax
1588 271 - EB12 on Deductible Lines
1589 270 5010 Secondary Search Item
1591 Packaging a TA1
1592 Claim Level CAS04 = 0
1593 5010 loop 2400 DTP
1594 EB01=F (limitation) and HSD
1595 K3 Usage for Health Safety Net
1596 Balancing multi benefit plans
1598 Claim Received Date
1600 HIPPS Home Health Codes
1601 837I 5010A2 2310B Oper Phys
1602 PER Technical Contact Informat
1603 TPL Avoidance
1604 Negative Balances on 835
1605 EB12=W Remaing Amount Zero
1606 2010AB NM Pay-To Name
1607 5010 2110C/REF01 ?
1608 835 inpatient line payments
1609 External Code Sources
1610 999 for Decryption Issues
1611 Situational NM104 First Name
1612 999 - Decryption issues
1613 Patient Identifier in 835
1614 Subscriber not found respose
1615 Diagnosis codes in Prof 837
1618 271 2110C/D EB05 Plan Name
1619 271 member not found
1620 278 Response 2000E HCR
1621 271 -- Diagnosis Based Benefit
1623 '0' in 5010/837P/SV504
1625 999 or AAA
1627 5010 837/2430 Line Splitting
1628 271 - Benefits Sub-types
1629 Revenue Codes & Modifiers
1630 STSE envelope relative to file
1631 Credit card payment in the 835
1632 835 not affected by ICD-10
1634 Use of Patient Amount Paid
1635 LookupAttempted-MID
1637 Attempt Lookup-Last Name
1638 Attempt Lookup-First Name
1639 Attempt Lookup-Date of Birth
1640 Attempt Lookup-LN and/or FN
1641 Attempt Lookup MID/MultipleHit
1642 Attempt Lookup-LN/FN Mult Hit
1643 Attempt Lookup LN/MID-Mult Hit
1644 Attempt Lookup- MID/LN/FN Mult
1645 Reporting Capitated Payments
1646 GS06 Uniqueness Requirements
1647 5010 278 2010EA loop PRV
1648 v3070 U277 bundled w 5010 835
1650 270/271 duplicate request
1651 270 same subscriber
1652 276/277 REF*1K
1653 Explicit Service Type Status
1654 Rejecting 270 in real-time
1655 ISA01 - ISA04 Usage
1656 Primary Payers' Impact
1657 Codify a tiered benefit
1661 271 TRN for dependent
1664 NDC with HCPCS or not
1665 Usage of 837I Loop 2310F NM103
1666 275 payer request
1667 271 N404 Country Code
1668 2330B REF*F8
1669 X217 2010F PER03/04
1670 HRA/HSA Payments in 835
1671 CN1 segment requirement usage
1672 Reporting NHRIC's in the 837P
1673 271 Service Type Code
1674 271 Multiple networks
1678 271 REF03 - Description
1680 277CA and 835 combined
1681 271: 2100C/NM103 With no AAA
1682 RFI # 472 - Clarity in 5010
1683 Subscriber Eligibility Loop
1684 Use of LX in REF*6R of 835
1685 999 CTX01.02 type AN 1/35
1686 country code
1687 Multiple TA1's per interchange
1688 HL Segment Ordering
1689 837P Copay Coins Deduct
1690 Multiple Plan Coverage in 271
1691 271 plan max payment exclusion
1693 5010 271 AAA priority
1694 Medi-Cal ERA
1696 Secondary payer CAS coding
1697 XV Qualifier and HPID/OEID
1699 Reporting same error twice
1700 837P SV104 and CR106
1703 271 specialist vs general prac
1704 Split Line for Partial Pmt 835
1705 5010-835 Interest Payment
1706 Locum Tenens & Orig Prov.
1708 835 TRN02 value
1710 834 full file replacement
1711 277CA Format zero dollar amt
1712 835 SVC and Case Rate pymts
1716 271, 2100C with AAA03 = 42
1717 271 2110C/D Multiplan coverage
1718 270/271 Data requirements
1719 HL segment order
1720 271 2110 Only Dental Plan
1721 Copay/Coins same service
1722 005010X216 response structure
1723 State Regs. Contradict Guide
1724 Multiple NM1 segments 835
1725 Sales Tax Submitted via Paper
1726 Reporting tax with AMT
1727 X12 271 EB Segment & Copayment
1728 834 X307, coverage specific ID
1729 Trailing Spaces
1730 Transport Location Categories
1731 N4 - Foreign Zip Code Requirem
1732 Reporting the AMT T2
1733 835 Reversals and corrections
1734 Order Finan Resp in 271
1735 ISA 15 - allowable values?
1737 Dup Remaining Seg EB03 Repetng
1738 CLP03 not org bill amount
1739 Dup Clm # with CARC 18 -835
1740 5010 K3 Usage
1741 Reprocessed Claims on an 835
1742 Service Level CLIA - 837P
1743 Member Cost Share Submission
1744 Ack of paper claim
1745 Credit Card data - 834 HIX
1746 Waivers/Demonstration Projects
1747 Comment on RFI 1555
1748 Eff/Term Dates of CARC RARC
1750 Allow Lead 0 in Value Code Amt
1751 277CA Entity codes
1752 276/277 Status for Paper Claim
1754 Usage of Loop 2330B NM103
1755 270 with 2100C EQ03 = 'FAM'
1756 Balance Forward Processing
1757 Locum Tenens 2
1758 835 claim level adjustment
1759 Std to Reject on TP Enrollment
1760 837 PACDR CN104 Contract Code
1762 Use of an EB and AAA
1763 835 PLB FB & Bad Debt/Legal
1764 835 - Alternate Benefit Paid
1765 CARC updates crosswalk
1766 835-filing ind. patient term
1767 271 & Tiered benefits
1768 820 & ACH IAT Transaction Set
1769 820 Fed Wire/CHIPS CTP Format
1772 837I SV2 # of service lines
1773 DN104 usage in 837D
1774 270 - Multiple Request
1775 1.4.5 Change file
1776 Payer Payment Error 835 carc
1777 ERA - Use of MIA and MOA
1778 EB01 = ACTIVE or INACTIVE
1779 PCP vs Specialist Copays 271
1781 Patient Status CodeCL103
1782 ICD-10 E-Code on 837I
1783 270, INS17
1784 835-Reporting Dental Modifiers
1785 Realtime 271 Multiple 2100C
1786 2320 OI06 Note 837P
1787 conveying other Info source
1788 S codes unbundled to E,K & A
1789 835 Date of Service
1790 277-STC04 & SVC07
1791 277-STC02
1793 Loop 1000B, REF*PQ Payee ID
1794 APR-DRG & EAPG returned on 835
1796 2430 SVD03-2 clarification
1797 835 Rendering Provider
1798 Atypical Providers with an NPI
1799 Patient Cntrl Nbr for Voids
1801 835 SVC06-01
1802 CO45 Adjust as a full writeoff
1804 Request for additional info
1806 Grace Period End Date
1807 SC Medicaid 271
1808 835 and 277CA Tracking
1809 835/820 combined useage
1810 837 Inst 2420A Loop
1811 837 Multi CAS w/same Group
1812 Subscriber Pay 835 reporting
1814 Multiple SVD loops
1815 Delimiters in data fields
1817 277 Service Date
1818 Illogical Date - Responses
1819 Dental Modifier on 835
1820 Application of RFI 1503
1821 EB*R vs EB*U vs EB*W
1824 276/277 SVC03 for pend status
1825 Responsible Party Name Loop
1826 Value SBR09 for Medicare HMO
1827 Missing Loop 2310F?
1829 X12N - PER04 Segment on 27x
1830 AMT*KH and CARC B4
1832 270 Elig Inqy - hyphens in SSN
1835 Recovery from other entity
1837 Discharge Hour Length
1838 834, 2100G qualifier
1839 Section 1.10.2.18 Totals withi
1840 837P Admission Date
1842 837I CLM05-1
1843 Function of REF02, EV Header
1844 834 2100B DMG Demographics
1845 Clarification NPI 2310C loop
1846 situational rule usage
1847 TRN02 Segment in 835
1849 Admit Hour for mult day OP clm
1850 837P, 2300 REF Referral number
1851 271 Explicit STC-Plan Inactive
1852 271 Rsp to 30 w/ Ntwk Variance
1854 837P, 2300 DTP*454 requirement
1855 835 paid units SVC05
1857 2300 CLM06 for 837I
1858 EMS Billing Requirement
1859 HIX Grace Period Notifications
1860 837P Prior Payer Paid Amount
1861 2310B Rendering Provider
1862 2310A Referring Provider
1863 837i REF-PAYER CLAIM CONTROL #
1864 837 I Patient Estimated Amount
1865 837 I AMT and CAS
1866 837D Quantity
1868 835 5010 ST02 AN?
1869 Appropriate return of penalty
1870 835 BPR01
1874 Nature of EFT reference number
1875 Other Payer Primary Identifier
1876 Ambulance Mileage
1877 834 DMG05-3 Repeat
1878 AMT - Per Day Limit
1879 Billing Provider Addr 2010AA
1880 Receipt of unsolicited refunds
1881 835 Void Check
1882 ICD10 in 837
1883 835: Payer Use of PER*CX Seg.
1885 5010 835 Claim Status 4
1886 837P - Report repackaged NDC
1887 Card Payments and BPR04 BOP
1889 278 2000FService Types
1890 834 Medicare Advantage
1891 837IHI Occurrence Span Info
1892 Provider contract Plan ID
1893 CARC code validation
1894 HD Loop for DMG changes?
1896 834 Member Level Date
1898 271 EB02 Requirement
1899 00510X220 Loop 2750
1901 271 Convey Group Funding Type
1902 Rendering Provider 2420C/2310D
1903 271 Multiple Plans for patient
1906 MKS ID 50445 - 276/277
1907 MKS ID 50453 - 276/277
1908 MKS ID 50455 - 276/277
1909 MKS ID 50569 - 276/277
1910 MKS ID 50139 - 270/271
1911 MKS ID 50139 - 270/271
1912 Referring Provider Drop-down
1913 1.4.8.3 Name/Date of Birth
1914 2100C/NM109 w/ Inact v Active
1915 271 multiple benefit plans
1916 medically necessary benefits
1917 Line Item Control number 835
1918 834 Req BGN01 when BGN06 exist
1919 Medicare Subrogation
1920 Modifiable Response Segmen-UMO
1921 Capitation payments 835-PCMH
1922 RxBIN and RxPCN in the 270
1924 National Drug Unit Coun CTP04
1925 WC Ebills subscriber address
1926 005010X214 REFD9 Usage
1927 Clarification of IK5
1930 Multiple Benefit Network Tiers
1931 INS*05 value if INS*07 present
1932 837P - Loop 2310C 5010 - Labs
1933 Payer Sequencing for COB
1934 271 2100C Subscriber Address
1935 Clarify RFI 1794 APR-DRG EAPG
1937 835 Covered Amount
1938 2300 K3 for Ambulance Data
1939 Variable FAM Deductible in 271
1940 Policy Term Dates in 820
1941 835 Predeternation with PatRes
1942 Clarification STC01-1 in 277CA
1943 XML escape characters
1944 Rev/Corr payer combined claim
1945 Replacement Claim CLP01
1948 NDC Units - 2410-CTP04
1949 THCIC TX Medicaid 2000BA/DMG05
1950 SVC /835 Required always?
1951 Ambulance Transport TR3 Note
1952 Redundancy 1.12.5
1953 Redundancy Claim vs Claim
1954 NM105 in loop 2120C
1956 Overpayment Recovery pat id
1957 EB03 in 271 for Telemedicine
1959 271 2110C/D DTP01 = 290
1960 NPI/Tax ID Mismatch Reject
1961 PLB Adjustment field lengh
1962 Loop 2300 usage (5010-837P)
1963 Medicare RUG value
1964 834 Reporting Loop
1965 Qualifier Descriptions
1968 837 PWK02 FT usage
1970 837I 2400 DTP Service Date
1972 278 HCR03 = 90 in PWK
1973 service type code 42
1975 837I, PCP group, Inpatient
1976 Overpayment Recovery
1977 837D loop 2300 REF*9F
1978 278 Procedure Code Question
1980 Loop 2320 SBR01=P payer seq
1981 835 reversal reporting NM1*TT
1982 271 Referral Program Indicator
1983 271 PRV01 PCP Referral Program
1984 Connecting Other Payer Loops
1985 Plan Number in the 271
1986 GS08 - ST0 Version Information
1988 999 GS01 valid values
1989 837 2310B Rendering Provider
1990 Corrected Insured Employer
1991 277CA with multiple 837 ST/SEs
1992 Balancing in 277CA
1994 Consult regarding 2310C loop u
1995 How do I read the BNF product?
1996 278 PWK02 EL Usage
1997 278 PWK02 Inclusion of the FT
1999 005010X223 AMT*A8 vs CLM*02
2000 Individual in 2010AA with EIN
2001 Duplicate Referral
2002 6020 999: IK4\CTX05
2003 Confidentiality Code on 834
2005 835 Use of PER-IC & REF-OK
2006 834 Monthly Recon Definition
2007 834: DTP segment for Medicare?
2009 Bundling svcs from > 1 claim
2010 unique trn02 per tin in 835
2012 B.1.1.3.1.2 Ambulance Mileage
2013 Corrected Priority Payer TBD
2014 Remaining Cov Benefits GiC 271
2021 INS06 COB in 834
2022 SVC03 vs CAS CO 139
2023 COB claim vs service line
2024 Multiple Functional Groups 270
2025 835/837Payer Crossover Process
2026 Delimiter in non-comp field
2027 Use of 2430 SVD
2028 SVC06 and Additional Modifiers
2029 Proper CLP02 Use
2031 782 Monetary Amount Limitation
2032 5010X222A1 CR1 loop 2300/2400
2033 278 QTY MIN/MAX
2034 How to include a TIN on an 834
2035 Line Item Control Number
2036 HSD Required When SV1 Sent
2037 834 Loop 2300 AMT & REF Repeat
2038 837I2400 SV203 Negative Amount
2039 CPT Category II and III in 837
2040 837P billing npi not in 835
2041 TRN03 for Self-Funded
2042 Service-level remarks on 837
2044 CAS OA*94 vs CAS CO*94
2045 LOINC Codes 277RFAI 005010X213
2047 Dental Vendor's 271 response
2048 CAGC CO with Coinsurance
2049 270/271 Date of Service
2050 2330B N404 Country Code Usage
2051 Forward Balance mulitiple
2052 CAS*CO*45 being used as denial
2053 Duplicate Loop 2430 SVD
2055 835 DTM
2056 EAPG in 837 I
2057 837I-Tertiary Payer & DTP_573
2059 Patient Responsibility
2060 Withdrawal/Void Claim and Resp
2061 Adjudication or Payment Date
2062 Secondary ERA adjustments
2063 BHT03 field length in claims
2064 CLP01 Replacement of #
2065 The DI of the UDI in the 835
2066 5010X223A1 - DUP 2330B
2069 Multiple REF*CE segments in 83
2070 835 EAPG representation
2071 SVC inpatient DRG add on
2072 2440 FRM05
2073 Union Covered Employees
2075 835 Relationship to payment
2076 reporting of actuals
2078 L6 in WO PLB total
2080 HIX 837 accums information
2081 EFT/ERA separate payers BPR
2083 Attachment Control # Choices
2084 COB Model Service Line
2086 AK102 Response to 837
2087 Unsolicited 'Finalized' 277s
2091 Patient Control Number
2092 IK501 E
2093 5010 837P - 2420A & 2420D
2097 PWK02 EL usage
2098 X217-Guide PWK02 AA Qualifier
2099 999 confirming claim receipt
2101 SV311 usage in processing
2102 TA1 Response to Invalid ISA
2104 271 with Range for Plan dates
2105 STC03 and STC04 in 277CA
2107 2400 - SV205 - Service Units
2109 837P 12 DX codes 4 DX pointers
2110 ICN/DCN for xx1 Type of Bill
2111 835 BPR06-BPR11 for EFT/ERA
2112 2430*SVD05
2113 Usage of Claim Billed Amounts
2114 2430 SVD02 Negative Value
2117 Sub vs. Dependent in 270/271
2118 Negative amounts -277 STC/SVC
2119 270/271- REF- Group Number
2121 Structure on 277 Response/276
2122 Multiple Interchange Envelopes
2123 835 Interest Reporting Reqquir
2125 PLB03 Levy qualifier
2126 837 Institutional SV207
2128 Times during Fall Clock change
2129 ISA & GS ID's
2130 837P prof clm admission date
2131 Incomplete PLB Transactions
2133 Acknowledgment of an 824 tran
2135 CLM05-03 usage
2136 Telemedicine use of Code E37
2137 837P-Loop2310C Serv fac
2141 Debit Card Recovery PLB03-1
2142 277 valid characters
2143 Secondary Claim Reporting -COB
2144 Spaces for Mandatory Element
2145 277CA Receiver Level Rejection
2146 837 Professional SBR09
2147 PACDR 299 Discharge Date
2148 Primary Care Provider 2310A NM
2149 OE ID
2150 CLP01 in a Reversal
2151 CPT04 Units for the 837I and 8
2152 Clarification of RFI 1531
2153 278 AAA for unsupported UM01
2155 837/277CA NM102 = 2; NM104,5,7
2157 Contracted funding CARC 139
2160 Attachments with 278 v5010
2161 Homeless Patient Address
2162 Define CTX Business Unit 999
2163 835 - SVC05 vs 837 SVD05
2164 005010X218 820 - BPR02
2165 Line Splitting Vs Un-bundling
2166 Reporting APR-DRG on 5010 835
2167 Primary Procedure Code in Auth
2168 837 Claim Balancing
2169 UDI-DI in the 837P and 837I
2170 Invalid use of AK905 Rejection
2171 Usage of 820 Transaction
2172 EQ01/EB03 Compliant Code Use
2173 Loop 2300, REF01=F8 Control#
2174 ASN (856) Before Shipment?
2175 Extend Authorization
2176 271 MSG segment - gaps in care
2177 EB01=S Usage
2178 276/277 Claim Service Dates
2179 835 for notification only
2180 NEW MBI IDENTIFIER FROM CMS
2181 Multiple coverages same member
2183 Value Code Requirement
2184 Clarification on RFI 2123
2186 payment prior claim submission
2187 One payer MedicareMedicaid 835
2188 Useage of 5010 837P 2000B SBR
2189 Invalid Payer Sequence Order
2190 837P 2310D without 2310B
2191 Severity of Illness DRG Codes
2192 Ranges in TRN02 for 820
2193 271 ER Facility/Provider Chrgs
2194 835 Secondary Payment
2196 2310C REF LU
2197 837I SV203 zero service line
2198 Loop 2000C PAT01 Valid Values
2199 Additional Info - RFI #2189
2201 271 Repeating EB03 element
2202 PLB L6 interest
2203 277CA: non-rejecting issues
2204 CLM02 Total Claim Charge Amt
2206 Clarify tooth info in 837P K3
2210 Pat Resp In Unbundled Codes
2211 Duplicate TRN02 Value
2213 NY NoFault Data
2214 NY NoFault Remit Data
2216 835 Order of Segments