Change Request Detail
No.
1166
Date
3/5/2012
Submitter
Type of Request
Health Care Eligibility Requests or Responses
Status
DSMO Process Completed
Business Reason
Representing dental interests for Transaction 27, the response needs to support the ability to make a lesser allowance toward a submitted service with the difference chargeable to the patient.
Suggestion
Add message such as EB"A"********.2*****AD:D2393-MSG*posterior Resin Covered as Almagam
DSMO Category
B
Recommendation
Approve. The DSMO approves this request for ASC X12 to define the technical solution in a future version. The DSMO also recommend X12 investigate additional dental data content in the eligibility transaction (270/271). 
Appeal Recommendation