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Back  RFI # 2215: Newborns in 278

Formal vs. Informal Help Informal Formal

Submitter

Dennis Zanetti

Description

We have a need to submit newborn demographic data as part of a request for newborn services, since the plan doesn't have the newborn's patient information yet.

There doesn't seem to be any way to provide this information on the 278 - do you have a recommendation?

Submitter Assigned Keywords

newborn 278 authorization

Response

If the newborn child has or will have a unique member ID, the newborn information is submitted in the 2000C subscriber loop only. If the newborn child will fall under the member ID of the subscriber, then the newborn information is submitted in the 2000D loop.

Recommendation

If the newborn is a dependent, the submitter could use the INS segment in the dependent loop (2000D) to further identify the relationship between the subscriber and the newborn baby.
Submission 5/19/2017
Status Date 7/27/2017
Status F - Final
Primary References
Document 005010X217
Section2