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Back  RFI # 911: 5010 837P CRC Ambulance Cert

Formal vs. Informal Help Informal Formal

Submitter

James Mosteller

Description

3 questions

1) Is it true that CRC Ambulance Certification segment should only be created if there are condition codes to place in CRC03 - CRC07?

2) It is true that the CRC Ambulance Certification segment should be created for all ambulance transport claims?

3) Is it true that the CRC Ambulance Certification segment could be sent with either a Y or N in CRC02 with conditions in CRC03-CRC07?

Response

These issues are explicitly addressed in the 5010 837 Professional implementation guide.


1 - Yes. But, since the condition can be either a positive or negative (CRC02= Y or N), every ambulance claim can have a condition reported.

2 – No – It’s only required when it is necessary to report condition codes.

3 - Yes - CRC02 supports values "Y" and "N"
Submission 11/24/2009
Status Date 1/20/2010
Status F - Final
Primary References
Document 005010X222
Section2
Page216
Set ID837P
Table2
Loop2300
Segment Position2200
Segment IDCRC