I am looking for direction as to the issue of the number of line items which may or may not be accepted within a 837 claim transaction.. I can not find any reference to line item limitation within the 45 CFR parts 160 and 162. In the implementation guide the number of 2400 loops (Service Line) is limited to 50, within the 2400 loop the LX segment (line item counter) is limited to one per loop, this is for the professional and the dental 837. The 837 institutional guide has this limit as 999.
The Health Care Claim Status Codes provided by the Washington Publishing Company's web site www.wpc-edi.com is the only acceptable code list for use in the 277 and 835 transaction sets. The description for code 121 is stated as "Service line number greater than maximum allowable for payer." This leads me to believe a limit may be set as to the maximum line item per payer. Any help is appreciated. Ken Brown Interoperability Manager 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.
