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Back  RFI # 1403: HCP Segment

Formal vs. Informal Help Informal Formal


Angie Hicks


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.


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
Set ID 837I
Segment IDHCP