RFI Browser

Back  RFI # 1477: non-scheduled transportation ?

Formal vs. Informal Help Informal Formal

Submitter

matthew klischer

Description

The 5010 837I TR3 2310A NM1 has the following:

Situational Rule: Required when the claim contains any services other than non-scheduled transportation claims. If not required by this implementation guide, do not send.

Medicare is trying to develop edits to determine when to accept/reject this NM1 and we cannot find what exactly constitutes a “non-scheduled transportation claim” (i.e. what revenue code(s), what bill type(s), what HCPCS, etc.).

We need to know what identifying criteria to use to identify all claims that are affected by this situational rule so when we cross over COB claims to our COB trading partners we are compliant.

Submitter Assigned Keywords

non-scheduled transportation

Response

To determine if a claim contains a non-schedule transportation service the transaction receiver would need to review the procedure codes submitted on the claim. This code list is not under the control of ASC X12N. Please see the code source as identified in the appendix of the implementation guide for assistance with your request.
Submission 12/15/2011
Status Date 1/19/2012
Status F - Final
Primary References
Document 005010X223
Section2310A
Page319
Loop2310A