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Back  RFI # 150: HI Principal, Admitting, E-Cod

Formal vs. Informal Help Informal Formal

Submitter

Angela Hendrix

Description

HI Principal, Admitting, E-Code and Patient Reason For Visit Diagnosis Information S 1
"Required on all claims and encounters except claims for Religious Non-medical claims (Bill Types 4XX and 5XX) and hospital other (Bill Types 14X)."
--Are these Bill Types contained in a code list not defined in the IG?

"The Admitting Diagnosis is required on all inpatient admission claims and encounters."
--How is 'inpatient' best indicated in the data for validation?

Submitter Assigned Keywords

HI Principal inpatient bill

Response

This issue is explicitly answered in guide X096 and X096A1, Appendix C and section 3.1 Admission Date/Hour DTP segment. The source for the Bill Type is found in appendix C under Code Source 236, the Uniform Billing Claim Form Bill Type. A claim can be identified as inpatient by the presence of the 2300 loop DTP segment for Admission Date/Hour.
Submission 11/19/2004
Status Date 1/6/2005
Status F - Final
Primary References
Document 004010X096A1
SectionAddenda
Page19
Set ID837
Table2
Loop2300
Segment Position231
Segment IDHI