Change Request Detail
No.
1125
Date
1/27/2011
Submitter
Type of Request
Payment of a Health Care Claim
Status
DSMO Process Completed
Business Reason
Allow the provider to tie the forward balance (and subsequent recovery) to the specific claim rather than the payment ID.
Suggestion
Change front matter (1.10.2.12) to allow reference to a Patient Account Number or Claim ID in the PLB3-02.
DSMO Category
B
Recommendation
Approve. The DSMO recommends that X12 will define the technical solution for inclusion in a future version.
Appeal Recommendation