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Back  RFI # 1091: 5010X217 278 Procedure Lines

Formal vs. Informal Help Informal Formal

Submitter

Thomas Pothen

Description

For the 278 Request transaction, the TR3 definition shows service lines (2000F) as having UM, SV1, SV2 and SV3 segments.

Can one service line loop have an SV1 and an SV2 and/or SV3 segments in it?

Submitter Assigned Keywords

278 SV1 SV2 SV3 Procedure Line

Response

This issue is explicitly addressed in guide 005010X217.

The SV1 segment rule states: "Required when requesting a specific Professional Service."

The SV2 segment rule states: "Required when requesting a specific Institutional Service or requesting a specific Revenue Code for the Institutional Service.

The SV3 segment rule states: "Required when requesting a specific Dental Service."

All end with "If not required by this implementation guide, do not send."

Therefore, there can only be one SV1, or one SV2 or one SV3 segment per 2000F.
Submission 6/29/2010
Status Date 7/9/2010
Status F - Final
Primary References
Document 005010X217
Section2
Page247
Set IDx
Loop2000F
Segment IDSV1