The health care claim status codes for the 277 and the 835 are different.
Don't confuse them. The 277 uses code list 508; the 835 has an internal
list of status codes.
"Brown, Kenneth" <[EMAIL PROTECTED]> on 05/28/2002 04:03:58 PM
To: "'[EMAIL PROTECTED]'" <[EMAIL PROTECTED],>,
"'[EMAIL PROTECTED]'" <[EMAIL PROTECTED]>
cc:
Subject: Line Item Limits
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
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