RFI Browser

Back  RFI # 1416: 2320 - Other Payer Clarificati

Formal vs. Informal Help Informal Formal

Submitter

Johnson Christy

Description

In the 5010 837P/I, I am looking for a clarification on this situational rule for 2320: “Required when other payers are known to potentially be involved in paying on this claim. If not required by this implementation guide, then do not send.” If 2000B/SBR01 is not “P”, does that mean that loop 2320 is required?

Submitter Assigned Keywords

2320, Secondary, SBR01

Response

There is no direct requirement in the 5010 TR3 to report Loop 2320 if the value in 2000B/SBR01 is not “P”. However, if the value in 2000B/SBR01 is not “P”, other payers are known to potentially be involved in paying on this claim. Therefore, when 2000B/SBR01 is not “P”, the claim must contain Loop 2320.
Submission 9/26/2011
Status Date 11/4/2011
Status F - Final
Primary References
Document 005010X222
Section2.2
Page295
Table2
Loop2320
Secondary References
RFI ID 1863
Document 005010X223
Section2.2
Page354
Table2
Loop2320