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Sub-Field: 36.013

Package: Integrated Billing

INSURANCE COMPANY(#36)-->36.013

Sub-Field: 36.013


Information

Parent File Name Number Package
INSURANCE COMPANY(#36) PLAN TYPES NO BILL PRV SEC ID 36.013 Integrated Billing

Details

Field # Name Loc Type Details
.01 PLAN TYPES NO BILL PRV SEC ID 0;1 SET
  • '16' FOR HMO MEDICARE;
  • 'MX' FOR MEDICARE A OR B;
  • 'TV' FOR TITLE V;
  • 'MC' FOR MEDICAID;
  • 'BL' FOR BC/BS;
  • 'CH' FOR TRICARE;
  • '15' FOR INDEMNITY;
  • 'CI' FOR COMMERCIAL;
  • 'HM' FOR HMO;
  • 'DS' FOR DISABILITY;
  • '12' FOR PPO;
  • '13' FOR POS;
  • 'ZZ' FOR OTHER;

  • LAST EDITED:  MAR 09, 2006
  • HELP-PROMPT:  Enter all the Electronic plan types which will suppress Billing Provider Secondary and Additional IDs from being sent.
  • DESCRIPTION:  
    These are electronic plan types which cause the billing provider secondary ids to be suppressed on the claim.
  • CROSS-REFERENCE:  36.013^B
    1)= S ^DIC(36,DA(1),13,"B",$E(X,1,30),DA)=""
    2)= K ^DIC(36,DA(1),13,"B",$E(X,1,30),DA)
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