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Back  RFI # 1892: Provider contract Plan ID

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Submitter

Jerri Bollinger

Description

In Reference to RFI 1426- There is growing need to report the Provider Contract Plan ID in the 837 somewher...to insure that the provider/payer contract obligations/adjustments are being linked appropriatly. If the 837 is to be used as a standard for payer claim adjudication, are there any plans to designate a place for such information to exist in the 5010X222/ X223 837?

Submitter Assigned Keywords

Provider Contract Plan ID Reporting

Response

There is no current change request for adding a Provider Contract Plan ID to the 837 Implementation Guides, and no one has presented a business need, so the answer would be no, there is no current plan. This capability was removed from the version 005010 837I/P guides as a result of National Provider identifier (NPI) requirements.
Submission 1/8/2014
Status Date 3/28/2014
Status F - Final
Primary References
Document 005010X223
SectionTR3
Loop2000B
Segment Position0050
Segment IDSBR