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Back  RFI # 1418: Multiple POB Numbers on servic

Formal vs. Informal Help Informal Formal

Submitter

Julia Dunicheva

Description

5010 version allows to send up to 5 Predetermination of Benefits Identiffication numbers for a service line in loop 2400, segment REF with G3 qualifier.
Is it compliant with the TR3 to send multiple POB Identiffication numbers for the same payer (destination or non-destination) on a same service line?

Same question for Prior Authorization Number and Referral Number.

Response

There are no situations in which more than one identification number would be sent to the same payer at the line level for these segments in question.
Submission 9/27/2011
Status Date 11/16/2011
Status F - Final
Primary References
Document 005010X224
Section2.4
Set ID837
Loop2400
Segment IDREF