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Back  RFI # 1891: 837IHI Occurrence Span Info

Formal vs. Informal Help Informal Formal

Submitter

Nicki Grose

Description

Clients admitted to an inpatient facility can be granted leaves of absence. Some absences are paid by funding sources and others are not. In the case where a patient is granted a paid leave of absence, how would this be documented on the 837I claim?

Could you show how a claim with billable versus the non-billable leave should be submitted?

Thanks,
Nicki

Submitter Assigned Keywords

occurrence span

Response

The version 005010 ASC X12 Institutional Claim TR3, 005010X223, supports the ability to bill leaves of absence through the use of National Uniform Billing Committee (NUBC) Revenue Codes; see ASC X12 External Code Source 132. If the Leave of Absence is not covered or not fully covered, the amount that is not covered would be placed in data element SV207.
The total charge for this service would be reported in the SV203.

Recommendation: X12 recommends that billing questions involving the use of the specific Revenue Codes to report Leave of Absence be directed to the NUBC for instructions
at: http://www.nubc.org/contactus/index.dhtml
Submission 1/7/2014
Status Date 3/14/2014
Status F - Final
Primary References
Document 005010X223
Section2300