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Back  RFI # 2053: Duplicate Loop 2430 SVD

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Submitter

Vo Huong

Description

I have a situation where the line (SV1 loop) has duplicate SVD loop. I don’t see anything in TR3 about whether or not it is valid to code this way,

Ex:

LX*1
SV1*HC|H2015|U3*0*UN*2***1********0
DTP*472*D8*20140103
SVD*PROVIDERA*0*HC|H2015**2
DTP*573*D8*20150326
SVD*PROVIDERA*0*HC|H2015**2
DTP*573*D8*20150326
SVD*PROVIDERB*0*HC|H2015|U3**0
DTP*573*D8*20150403

Thanks.

Submitter Assigned Keywords

#16904

Response

Nothing in the TR3 specifically prevents duplicate SVD iterations. However, each SVD iteration must identify a unique service line payment and/or adjustment adjudicated by one of the payers identified in Loop 2330B.

Recommendation

Front Matter Section 1.4.1.4 provides guidance for the use of multiple SVD’s to report bundling.

RFI 1933 addresses the issue of associating multiple occurrences of the 2430 Loop where the payer is the same. Version 5010 does not support this. This was addressed in the next version by changing the SVD01 value to the corresponding Other Payer Responsibility Sequence Code reported in Loop 2320 SBR01.
Submission 5/15/2015
Status Date 8/17/2015
Status F - Final
Primary References
Document 005010X222A1
Section2.3.1
Page480
Set ID837P
Table1
Loop2430