RE: 837...Claim Frequency type code for HCFA-1500 claims

[Tom Drinkard]

Title: RE: 837...Claim Frequency type code for HCFA-1500 claims

It is my understanding that NUBC has dropped code 6=corrected from the list of valid values as of October 2001. You can download a pdf of the valid values for clm05-3 from http://www.nubc.org/guide.html by right-clicking on the Form Locator 4 … entry in the list of Other Resources.  Although I detest defaults, the value of ‘1’ makes sense to me.   Hope this helps.   Tom Drinkard EDIT, Inc. [EMAIL PROTECTED] (678) 795-1251 (voice) (678) 795-1575 (fax) -----Original Message----- From: Owens, Kris [mailto:[EMAIL PROTECTED]] Sent: Thursday, June 13, 2002 11:53 AM To: 'Diane Stapleton'; '[EMAIL PROTECTED]' Cc: Faye Pecille Subject: RE: 837...Claim Frequency type code for HCFA-1500 claims   Diane, I went back to revisit this issue in the implementation guide.  The addendum refers you to code source 235.  Code source 235 again speaks to the UB specifications for type of bill position 3.  My conclusion from this is: Even though the addendum removed the codes listed in the original IG, I believe that the original interpretation remains that we would expect to see: 1 = original claim 6 = corrected 7 = replacement 8 = void No these are not currently found on the HCFA-1500 claim form.  My guess is that the logical default (which would be an individual organization's decision)  would be "1". Kris Owens 923-8108 "There is no meaning in isolation"   -----Original Message----- From: Diane Stapleton [mailto:[EMAIL PROTECTED]] Sent: Wednesday, June 12, 2002 4:49 PM To: '[EMAIL PROTECTED]' Cc: Faye Pecille Subject: 837...Claim Frequency type code for HCFA-1500 claims   Can anyone clarify how element CLM05-3, claim frequency type code, in the CLM Segment, Loop 2300, will be set for HCFA-1500 claims? This is a required field, but it is not found on the HCFA-1500 claim form. Is there a default value? 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. --- PRESBYTERIAN HEALTHCARE SERVICES DISCLAIMER --- This message originates from Presbyterian Healthcare Services or one of its affiliated organizations. It contains information, which may be confidential or privileged, and is intended only for the individual or entity named above. It is prohibited for anyone else to disclose, copy, distribute or use the contents of this message. All personal messages express views solely of the sender, which are not to be attributed to Presbyterian Healthcare Services or any of its affiliated organizations, and may not be distributed without this disclaimer. If you received this message in error, please notify us immediately at [EMAIL PROTECTED]