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Back  RFI # 435: 2430 SVD and 2320 AMT

Formal vs. Informal Help Informal Formal

Submitter

Leslie York

Description

On the 837P, When billing the secondary payer and reporting the primary payment, our software vendor is reporting the total paid on the claim in the 2320 AMT*D segment, with no CAS, and also at the line level in 2420 SVD for each line. The secondary payer is interpreting this to be double the reported amount. If the claim has 2 lines with $30 paid on each line, the 2420 SVD has 30 on each line, and the 2320 AMT*D shows $60. The secondary payer sees this as $120 on the entire claim.

Response

The 2320 AMT Segment reports the total COB Payer Paid Amount for informational purposes only. It is not an amount in addition to the line item Payer Paid amounts that are reported in the SVD02 elements. In your example, the SVD and AMT amounts are reported correctly, and the total COB Payer Paid Amount is $60.00.
Submission 7/27/2006
Status Date 9/8/2006
Status F - Final
Primary References
Document 004010X098A1
SectionD
Page555
Set ID837P
Loop2430
Segment Position02
Segment IDSVD
Industry NameService Line Paid Amount