by Lori | Jun 14, 2010 | Medicare payment basics
Loops and Segments Table – Loop 2320 – Other Subscriber Information. Required if other payers are known to potentially be involved in paying on this claim. Usage : Required Element : SBR01 Value : P=Primary S =Secondary T=Tertiary Use to indicate...
by Lori | Jun 14, 2010 | Medicare payment basics
Loops and Segments Table – Loop 2320 – Other Subscriber Information Coordination of Benefits (COB) Payer Paid Amount and Allowed Amount. Usage : Required Element : AMT01 Value : D Comment : Code to identify the primary paid amount. Usage : Required Element...
by Lori | Jun 14, 2010 | Medicare payment basics
Loops and Segments Table – Loop 2330A Other Subscriber Name and Address Usage : Required Element : NM101 Value : IL Comment : Code identifying the insured or subscriber Usage : Required Element : NM102 Value : 1 = Person 2 = Nonperson Entity Comment : Code...
by Lori | Jun 10, 2010 | Medicare payment basics
Loops and Segments Table – Loop 2330B – Other Payer Name Usage : Required Element : NM101 Value : PR = Payer Comment : Code to identify an organizational entity or other payer. Usage : Required Element : NM102 Value : 2= Nonperson Entity Comment : Code to...
by Lori | Jun 10, 2010 | Medicare payment basics
Loops and Segments Table – Loop 2400 – Service Line Contract Information Usage : Required Element : CN101 Value : 01 = Diagnosis Related Group (DRG) 02 = Per Diem 03 = Variable Per Diem 04 = Flat 05 = Capitated 06 = Percent 09 = Other Comment : Code to...
