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Back  RFI # 656: Claim Versus Service CR2

Formal vs. Informal Help Informal Formal

Submitter

Bob Resh

Description

The CR2 service level segment note states "Required on chiropractic claims involving spinal manipulation and known to impact payer’s adjudication process." The claim level CR2 segment note states "1. The CR2 segment in Loop ID-2300 applies to the entire claim unless overridden by the presence of a CR2 segment in Loop ID-2400. 2. Required on chiropractic claims involving spinal manipulation and known to impact payer’s adjudication process." From this, it looks like both CR2s are required for spinal manipulation claims/services and that you can't just submit the claim CR2 when it applies to all services. Is this correct?

Submitter Assigned Keywords

CR2

Response

The intent of the authoring group is that the line level CR2 is sent for either of two reasons:

1) To override a claim level CR2, or
2) To report CR2 information for a service when the claim level CR2 is not used.

The segment note on the line level CR2 should not be interpreted as requiring that a claim level CR2 be repeated on each line.
Submission 5/21/2008
Status Date 7/23/2008
Status F - Final
Primary References
Document 004010X098A1
Section3
Page236
Set ID837P
Table2
Loop2300
Segment Position200
Segment IDCR2
Secondary References
RFI ID 595
Document 004010X098A1
Section3
Page398
Set ID837P
Table2
Loop2400
Segment Position430
Segment IDCR2