Hello all... I was hoping to get some opinions on a situation I've run into during testing of the 837. In the HIPAA guide it states that the facility loop (2310D) is not needed unless the information in that loop is different than that provided in 2010AA (billing provider) or 2010AB (pay-to provider) loops. I've coded my company's program based on that rule. However, during testing I've been told that if the place of service code is something other than 11 or 12, the facility loop is needed regardless of whether the info is the same as in the 2010 loops.
It was my understanding that X12 would not allow for such payer customizations as the NSF format did where different states can ask for different things. I'm wondering if the payer in question is rejecting a HIPAA-compliant file simply based on their old NSF edits? And if they are, shouldn't they need to change their system to be in line with the HIPAA guide? Has anyone run into such customizations? Aren't these supposed to go away? Any guidance or assistance would be much appreciated. Thanks. __________________________________ Richard J. MacCatherine Software Engineer Source Medical Solutions, Inc. To be removed from this listserv, please email [EMAIL PROTECTED] <P>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.
