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Back  RFI # 564: CLP08?

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Submitter

ray hendershot

Description

"State the facility code here when the submitted code has been modified through adjudication." Therefore, it is not required, unless changed by the payer."

What code is used on the 835? The submitted or adjudicated? Thank you.

Response

This issue is explicitly addressed in guide 004010X091. The note on CLP08 states "This code is expected to be from the same code list as that identified in the original claim." Therefore, the adjudicated code is expected in CLP08, not the submitted code.
Submission 5/23/2007
Status Date 6/21/2007
Status F - Final
Primary References
Document 004010x091
Section3
Page93
Set ID835
Table2
Loop2100
Segment IDCLP
Element Position08