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Back  RFI # 637: Greater than 3 payers

Formal vs. Informal Help Informal Formal

Submitter

linda heitman

Description

If there are greater than 3 payers involved with payment of a claim how would that be submitted. Currently there are only P, S and T to identify the payer, what if there are 4 payers what would be used for that claim?

Response

This issue is not explicitly addressed in guide 004010X098. The 2000B loop SBR segment element 1 only supports code values for Primary (P), Secondary (S) and Tertiary (T). When there is a claim being submitted to a fourth (or subsequent) payer, the 'T' code value is re-used in SBR01
Submission 3/20/2008
Status Date 6/17/2008
Status F - Final
Primary References
Document 004010X98A1
SectionSBR
Page110
Set IDP,S,T
Loop2000B
Segment Position005
Segment IDSBR
Element Position01