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Back  RFI # 303: SVC01_02 reported as blank

Formal vs. Informal Help Informal Formal

Submitter

Janice Cunningham

Description

A Medicaid FI is reporting SVC segments without data reported in SVC01_02, which according to the IG is a required data element.

The state has told my contact at ACS to not make any changes. ACS cannot make changes without approval from the state.

This is an example of a SVC segment as it is being reported in the 835 4010A1.
SVC*NU: *1131*1131**3~

I need verification from X12 group that this is non-compliant that I can provide to my contact.

Response

This issue is explicitly addressed in guide 004010X091. SVC01-2 is the Procedure Code within the composite data structure for the Adjudicated Medical Procedure Code. SCV01-2 is an alphanumeric (AN) data element. Within the X12 standard, AN is defined as including at least 1 non-space character. SCV01-2 is listed as Required in this guide. Therefore, an 835 transaction that includes an SVC segment with either all spaces or no value as the SVC01-2 content is not compliant with this guide. For complaince, the contents of SVC01-2 must be a valid procedure code from the code list identified by the qualifier in SVC01-1.
Submission 8/10/2005
Status Date 8/19/2005
Status F - Final
Primary References
Document 004010X091A1
SectionSVC01_02
Page141
Set IDSVC
Loop2110
Segment IDSVC
Element Position01
Component Position02