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Back  RFI # 273: Corrected Priority Payer

Formal vs. Informal Help Informal Formal

Submitter

Barbara Sesny

Description

Can an auto insurance or homeowners insurance company be considered a corrected priority payer or is this limited to actual health plans? The only reference I saw that indicated they couldn't be would be whether or not they will be assigned PlanID numbers when mandated.

Response

If the auto plan or homeowners insurance company is primary payer for the claims, it would be accurate to report them under the corrected priority payer.
Submission 6/23/2005
Status Date 9/16/2005
Status F - Final
Primary References
Document 004010X091A1
Section3.1
Page116
Set ID835
Table2
Loop2100
Segment Position030
Segment IDNM1
Element Position03
Industry NameCorrected Priority Payer Name
Secondary References
RFI ID 235
Document 004010X091A1
Section3.1
Page117
Set ID835
Table2
Loop2100
Segment Position030
Segment IDNM1
Element Position08
Industry NameIdentification Code Qualifier