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Back  RFI # 281: 0 Paid Amount

Formal vs. Informal Help Informal Formal

Submitter

Whyte Linda

Description

Request for interpretation for the DTP segment of Loop 2430:
0 is a valid payment as expressed in Loop 2320 of the 4010 Guide (pg 332). Currently we don't output an adjudication date in Loop 2430 for the 0 Paid Amount. Is it acceptable to show the adjudication date when the paid amount is 0?

Submitter Assigned Keywords

Paid Amount

Response

A Claim Adjudication Date is required when the payer identified in the 2330B loop previously adjudicated the claim, including when the payment amount was zero "0".

That Claim Adjudication Date is placed in the Loop 2430 DTP segment when service line adjustments (loop 2430) are shown for this previous payer. Otherwise, the Claim Adjudication Date is placed in the Loop 2330B DTP segment when service line adjustments are not shown (no loop 2430) for this previous payer."
Submission 7/13/2005
Status Date 9/16/2005
Status F - Final
Primary References
Document 004010X98A1
Section3.1
Page566
Set ID837
Loop2430
Segment Position550
Element Position2