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Back  RFI # 1889: 278 2000FService Types

Formal vs. Informal Help Informal Formal

Submitter

Martin Wilbanks

Description

On a single 278 must each repeat of the 2000F service level loop contain the same type of service or can type of service be mixed within the transaction if all services are linked to the same episode of care. For example can the first 2000F contain a SV1 professional service and the second 2000F contain a SV2 institutional service line since most episodes of care involve both an institutional and a professional component.

Submitter Assigned Keywords

278 2000F

Response

The 005010X217 Technical Report Type 3 (TR3) allows multiple Service Level loops (2000F) for the Patient Event reported in Loop 2000E. This is true for both the 278 Request for Review and 278 Response. Guideline 3 in ยง1.12.4 Services Loop (2000F) states that any given valuation of loop ID 2000F may contain an SV1 or an SV2 [or an SV3] segment. Therefore, it is compliant with the TR3 to report both professional and institutional services for a single patient event.
Submission 12/26/2013
Status Date 2/28/2014
Status F - Final
Primary References
Document 005010X217
Section2.4
Loop2000F