Mike Deductible, blood deductible, and co-insurance are 835 adjustment reason codes; Remark codes are in the MIA and MOA segments, MAO09 is the Nonpayable Professional Component Amount - will that do?, it looks like most of what you need is there.
Tips for finding obscure elements: A word search is probably the easiest way to find obscure data elements; also, always search the claims adjustment reason code list - it's hard to find anything in there but word searches work pretty well most of the time. Jan Root "Winston, Mike K." wrote: > The fields listed below are needed to price Medicare Secondary claims > electronically. Where in HIPAA (I do not believe they exist). We are > trying to determine the best way to inform our providers on how to submit > this data to us (other than paper). Any info would be greatly appreciated. > > Medicare Blood Deductible > Medicare Coinsurance > Medicare Denied remark code > Medicare Covered > Medicare Deductible > Medicare Professional component > > Thanks > > Mike Winston > Business Systems Analyst > Trigon ISD > Ph (804) 354-4521 > Fx (804) 678-0452 > [EMAIL PROTECTED] > > This message, including files attached to it, may contain confidential > information that is intended only for the use of the ADDRESSEE(S) named > above. If you are not the intended recipient, you are hereby notified that > any dissemination or copying of the information is strictly prohibited. If > you have received this message in error, please notify the sender > immediately and delete the message from your system. Thank you. > > To be removed from this list, go to: >http://snip.wedi.org/unsubscribe.cfm?list=business > and enter your email address. > > The WEDI SNIP listserv to which you are subscribed is not moderated. The >discussions on this listserv therefore represent the views of the individual >participants, and do not necessarily represent the views of the WEDI Board of >Directors nor WEDI SNIP. If you wish to receive an official opinion, post your >question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. > Posting of advertisements or other commercial use of this listserv is specifically >prohibited. To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business and enter your email address. The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. Posting of advertisements or other commercial use of this listserv is specifically prohibited.
