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Back  RFI # 1403: HCP Segment

Formal vs. Informal Help Informal Formal

Submitter

Angie Hicks

Description

Can the repricer be deemed the repricer or is this always a third party?

BCBS or Arkansas has issued a mandate regarding this and advised the providers to complete 2400 HCP - HCP01 with a value of 13 and HCP02 with a value of actual invoice amount of implant.

Response

This is explicitly addressed in the 005010X223A2 implementation guide. The Situational Rule specifically states that the HCP segment is not completed by providers.
Submission 9/12/2011
Status Date 10/24/2011
Status F - Final
Primary References
Document 005010X223
Page442
Set ID 837I
Loop4200
Segment IDHCP