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Back  RFI # 436: 835 Using Remark Codes

Formal vs. Informal Help Informal Formal

Submitter

CHARLES DROGARIS

Description

We understand Remark Codes for Facility Claims are used at the service line level. However, our financial system only reports remittances at the document/claim level.

How do we send Remark Codes if we don't send service level information?

Submitter Assigned Keywords

Remark Codes

Response

This issue is explicitly addressed in guide 004010X091. Section 2.2.4.1 (Institutional-Specific Usage) identifies that there is no need to send service lines for inpatient facility claims. Also, the MIA segment is in the 2100 loop (Claim level). That segment supports up to five Remark Codes using elements 5, 20, 21, 22 and 23. Note 5 on the MIA segment reads “5. Payers and Payees outside of Medicare community may need to use this segment.” Therefore, use the MIA segment to report Remark Codes when service lines are not reported for inpatient institutional claims. The MIA and MOA segments can also report Remark Codes that are claim specific even when service detail (2110 loop) is provided.
Submission 7/28/2006
Status Date 7/31/2006
Status F - Final
Primary References
Document 004010X091
Section2110
Page162
Set IDLQ
Segment Position