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Sub-Field: 9002274.941

Package: Third Party Billing

3P ENVOY PROVIDER SPECIALTY(#9002274.94)-->9002274.941

Sub-Field: 9002274.941


Information

Parent File Name Number Package
3P ENVOY PROVIDER SPECIALTY(#9002274.94) EXCEPTIONS 9002274.941 Third Party Billing

Details

Field # Name Loc Type Details
.01 ENVOY E-CLAIM TYPE 0;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<2)!'(X?2U) X
  • LAST EDITED:  AUG 09, 2001
  • HELP-PROMPT:  Answer must be 2 characters in length.
  • DESCRIPTION:  For exceptions - that is, cases in which the 1500 Participating Payer code should not be used - put entries in here.
    -
    In this .01 field, the ENVOY E-CLAIM TYPE, put one of the two-letter codes as shown at the top row of the Envoy table of Provider Specialty Code.  For example, NB is for 1500 Non-Participating Payer.  NI is for UB-92
    Participating Payer.
  • CROSS-REFERENCE:  9002274.941^B
    1)= S ^ABMENVPS(DA(1),1,"B",$E(X,1,30),DA)=""
    2)= K ^ABMENVPS(DA(1),1,"B",$E(X,1,30),DA)
.02 CODE TO USE 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<2) X
  • LAST EDITED:  AUG 09, 2001
  • HELP-PROMPT:  Answer must be 2-3 characters in length.
  • DESCRIPTION:  
    This is the code to use for this situation.  It might be null, in the event that the 1500 Participating Payer code is not valid and there is no equivalent code for use with this type of claim.
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