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Back  RFI # 156: SDV06 Required if bundled

Formal vs. Informal Help Informal Formal

Submitter

Angela Hendrix

Description

From the 004010X097A1 IG, SVD06 - "Required if payer bundled the service line." (Assuming this means SVD06 is also required when the payer unbundled the service line) For validation purposes, does a CAS02 = 97 and CAS02 = 45 adjustment codes in the data necessarily indicate bundling and unbundling respectively? Are there other codes that could also be used?

Submitter Assigned Keywords

SVD bundling unbundling

Response

There are no specific CAS02 codes that explicitly identify bundling or unbundling. This is a business situation that can not be identified for validation by specific data within the transaction.
Submission 11/30/2004
Status Date 11/30/2004
Status F - Final
Primary References
Document 004010X097A1
SectionDetail
Page304
Set ID837D
Table2
Loop2430
Segment Position540
Segment IDSVD
Element Position06