---------- Forwarded Message ----------
Subject: FW: 837 Professional...Rendering provider address/location
Date: Thu, 13 Jun 2002 09:27:53 -0400
From: "Meisner, Debbi" <[EMAIL PROTECTED]>
To: "'[EMAIL PROTECTED]'" <[EMAIL PROTECTED]>
Kepa,
Would you please forward to the listserve, for some reason, it kicked back.
Debbi Meisner
Vice President, Standards Compliance
WebMD ENVOY Corporation
(615) 231-4184
-----Original Message-----
From: Meisner, Debbi
Sent: Thursday, June 13, 2002 8:26 AM
To: 'Diane Stapleton'; '[EMAIL PROTECTED]';
[EMAIL PROTECTED]
Subject: RE: 837 Professional...Rendering provider address/location
This issue was brought to the 837 workgroup several meetings ago...I think
it was in Seattle and
the answer that we received was to use the 2310 Loop with the '77' Qualifier
(Service Location). The
feedback from the workgroup is that they decided to not include the
information in the 2310 '82' Loop as
it could be interpreted as the home address of the provider. My concern at
the time is that there may be
a need to send both the Rendering Address and the Facility or Lab Address on
the same claim. The response to
that was to use the 2420 to pass the Facility if both were needed.
Hope this helps.
Debbi Meisner
Vice President, Standards Compliance
WebMD ENVOY Corporation
(615) 231-4184
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-----Original Message-----
From: Diane Stapleton [mailto:[EMAIL PROTECTED]]
Sent: Thursday, June 13, 2002 7:57 AM
To: '[EMAIL PROTECTED]'; [EMAIL PROTECTED]
Subject: RE: 837 Professional...Rendering provider address/location
No. The Sevice Facility location might not contain the actual business
address for the rendering provider based upon the description in the IG.
We looked at the LU - Location Number option and felt it would be
to burdensome to ask the providers to keep track of this unique
number when submitting a claim to the specific payer. So, we ruled
that out.
Unless the 'HIPAA gods' can add back in the use of the N3 and N4
segments to all the different provider segments, we are out of luck
and will have to look for an alternative solution that will not violate
the HIPAA rules.
...Diane
-----Original Message-----
From: Kepa Zubeldia [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, June 12, 2002 8:18 PM
To: Tom Drinkard; Diane Stapleton; [EMAIL PROTECTED]
Cc: Faye Pecille
Subject: Re: 837 Professional...Rendering provider address/location
Are you talking about the Service Facility Location?
Kepa
On Wednesday 12 June 2002 05:57 pm, Tom Drinkard wrote:
> The 2310B loop supports up to five repeats of the Rendering Provider
> Secondary Identifier.
> One of the qualifiers in that REF segment is LU - Location Number.
>
> You are correct; there is no place for Rendering Provider Address.
> There are billing addresses, pay-to provider addresses and addresses where
> the service was rendered.
> If none of the above three addresses solves your need, then you will have
to
> resort to individual provider identifiers or sub-identifiers.
>
> Hope this helps.
> Tom Drinkard
> EDIT, Inc.
> (678) 795-1251
> [EMAIL PROTECTED]
>
> -----Original Message-----
> From: Diane Stapleton [mailto:[EMAIL PROTECTED]]
> Sent: Wednesday, June 12, 2002 5:52 PM
> To: '[EMAIL PROTECTED]'
> Cc: Faye Pecille
> Subject: 837 Professional...Rendering provider address/location
>
>
> We have a need to identify the address/location of the rendering provider.
>
> In the 837, the rendering provider can be sent in the 2010AA and/or
2010AB,
> under the
> right circumstances. In those instances, the rendering providers address
is
> available.
>
> However, if the 2310B Loop is sent for the rendering provider, there is no
> corresponding N3 and N4
> records to accompany the data and specity the provider's address.
>
> In most IPA situations, the pay-to provider is the IPA organization
itself.
> Underneath the
> IPA organizational structure are individual providers who practice at
> multiple locations. The practice
> location can tie to the contractual rebursement. For example, if your
> contractual arrangements
> were based upon geographical location, the rendering provider could have
> multiple practices in
> different locations.
>
> We have ruled out the Service Facility Loop (2310D). According to the 837
> documentation, this loop
> is used to identify where the services were rendered. In the case of
> inpatient professional services, t
> this would represent the hospital facility where services were rendered.
> Another example is
> Dr. X going out to some business site to render care for employees.
>
> How are other payers handling this situation without the N3 and N4 records
> at the 2310B Rendering
> Provider level?
>
>
> Diane Stapleton
> Quovadx, Inc.
> 5051 Journal Center Blvd, NE - Suite 410
> Albuquerque, NM 87109
> 1-505-248-3944
> [EMAIL PROTECTED]
>
> The information contained in this message and any attachments is intended
> only for the use of the individual or entity to which it is addressed, and
> may contain information that is PRIVILEGED, CONFIDENTIAL and exempt from
> disclosure under applicable law. If you have received this message in
error,
> you are prohibited from copying, distributing, or using the information.
> Please contact the sender immediately by return e-mail and delete the
> original message from your system.
>
>
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