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Back  RFI # 947: MIA from Secondary Payers

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Submitter

Talitha Pettepher

Description

Should the MIA segment with Remark Codes be passed to the provider IF they are recieved from the intermediary by the Secondary Payer?

Submitter Assigned Keywords

MIA

Response

The MIA segment must be passed to the provider as reported by the payer.
Intermediaries must pass along all information, including remark codes, as reported by the payer.
The subsequent payer (secondary) can take into account the remark codes reported by the previous payer (primary) but reports only the remark codes that apply to their adjudication in their 835.
Submission 1/25/2010
Status Date 3/12/2010
Status F - Final
Primary References
Document 4010A1X091
SectionHeader
Page118
Set ID835
Loop2100
Segment Position033
Segment IDMIA
Element Position05
Industry NameRemark Code