The 837 Professional IG states (page 49) if no rule appears in the notes for
a situational element, the item should be sent if available to the sender.
As a payer (receiver) can we require the provider (sender) to collect and
therefore transmit the information? For example, using Loop 2010CA -
Patient Secondary Identification (page 166). This loop is situational if
additional information is required to adjudicate the claim/encounter. If we
require social security numbers for reporting to the state, can we require
that this loop be always used to collect social security numbers? It is not
necessary to process the claim, but we must use it when reporting encounters
to the state.
Thanks for any input!
Candice Craig
GUI Designer/HIPAA Implementation Team
Kent County Community Mental Health
[EMAIL PROTECTED]
This message has been prepared on resources owned by Kent County, MI. It is
subject to the Acceptable Use Policy of Kent County. Candice Craig, CMH,
616-336-8930.
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