I asked one person in our claims area if the position of the modifier makes a
difference. For example, if modifier AB is in the first position it means
something very different than if it is in the third position. For us, order
does not have meaning and they currently would expect no blanks... if you have
two modifiers, they would expect them to always occur in the first two fields.
With that in mind, I guess we would also expect the transaction to be filled
out the same way.
Thanks!
Jonathan Showalter
Omaha NE USA
402-343-3381
[EMAIL PROTECTED]
------------------( Forwarded letter 1 follows )--------------------
Date: Wed, 30 May 2001 17:42:18 -0400
To: [EMAIL PROTECTED]
From: Anthony.Beecher[BeecherA]@AETNA.COM
Sender: [EMAIL PROTECTED]
Reply-To: Anthony.Beecher[BeecherA]@AETNA.COM
Subject: [EDI-L] 837 SV101 composite semantics
I was wondering what you all thought about these semantics -
Segment:
2400_SV101
Composite Elements:
C00303, C00304, C00305, C00306 (Procedure Modifiers)
Level 1 Notes:
SV101-C00303 Use this modifier for the first procedure code modifier
SV101-C00304 Use this modifier for the second procedure code modifier
SV101-C00305 Use this modifier for the third procedure code modifier
SV101-C00306 Use this modifier for the fourth procedure code modifier
Should I expect to see:
SV1*HC:12345:25::24:26
or
SV1*HC:12345:25:24:26
In short, the issue concerns the semantics of "first", "second", "third" and
"fourth" in the Level 1 Notes. Within HIPAA is the partner allowed to skip
places or not? My read is "no", but maybe someone can convince me
otherwise...
Anthony
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