Change Request Detail
No.
1121
Date
1/27/2011
Submitter
Type of Request
Professional Claim (HCFA 1500)
Status
DSMO Process Completed
Business Reason
In order to establish uniformity in billing practices among provider where a dependent has a unique Member ID but is not technically the subscriber.
Suggestion
Clarify the use of 2010BA NM1 with dependent information where the dependent has a unique Member ID but is not the subscriber.
DSMO Category
D
Recommendation
Disapprove. Version 005010 addresses this already in the 2000B HL Hierarchical Level Segment Notes.
Appeal Recommendation