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Back  RFI # 1789: 835 Date of Service

Formal vs. Informal Help Informal Formal

Submitter

Ward Lori

Description

Fields in question: 2100 DTM02 Claim Date and 2110 DTM02 Service Date A provider submits a paper claim but does not include the date. The provider also enrolled to receive the 835 rather than an RA. The MMIS keys the claim and places a default date in the date of service (CCYYMMDD) field (i.e. 00010507 or 99990507). The claim is denied in adjudication. Upon the xml being generated this service date (eg. 00010507 or 99990507) is populated in the date field. The xml fails translation/compliance check due to the invalid date keyed by MMIS.
NOTE: MMIS does not have a preprocessor. 1. Can an invalid date be keyed when a paper claim has no service date but the provider elects the 835? 2. What recommendations from X12 should be followed when a provider submits a paper claim without a date but elects to receive an 835? 3. Can a default service date be used on any inbound or outbound X12 transaction?

Submitter Assigned Keywords

Paper Claims Missing Date of Service 835 default date DTM02

Response

We cannot answer questions 1, 2 or the first half of number 3 as those are system limitations that are beyond X12Ns control and would have to be decided by the management of the company and their business procedures for maintaining compliance.

The second half of number 3 is answered by RFI 601.
Submission 5/14/2013
Status Date 7/9/2013
Status F - Final
Primary References
Document 005010X221
SectionTable 2
Page173
Set ID835
Table2
Loop2100
Segment PositionDTM02