Thursday, February 21, 2008
Medical Billing - EA0 Record Fields 39 Through 55
If it seems we've been covering the EA0 record for medical billing of claims for a while now, that's because this record has more info than almost all the other records in the file. We pick up with EA0 record field number 39 in this installment.
EA0 field 39, positions 209 - 241, is the lab/facility name. This is the legal name of the facility or lab where any work was done. This is a mandatory field and must be filled in or the claim will be denied.
EA0 field 40, position 242, is the documentation indicator. There are a number of fields in electronic medical billing that indicate that something is signed or on file. This particular field indicates that whatever documentation is needed to back up this claim is indeed on file. This is for legal purposes.
EA0 field 41, position 243, is the documentation type. This is a code that signifies what type of documentation is on file, be it a CMN or a PPG or whatever. This tells the payer what the documentation is.
EA0 field 42, positions 244 - 245, is the function status code. This code relates to the diagnosis of the patient and the status of same. Consult your manual for a more detailed explanation.
EA0 field 43, positions 246 - 247, is the CHAMPUS special program indicator. This is an indicator that tells the payer if this is a claim that has to do with a special program in CHAMPUS. CHAMPUS itself was explained in detail in an earlier article. Please consult previous DA1 record articles for this explanation.
EA0 field 44, position 248, is the CHAMPUS non-availability indicator. This indicator tells the payer that the claim is not allowed to receive CHAMPUS benefits.
EA0 field 45, position 249, is the supervising provider indicator. This tells the payer that the services rendered were overseen by a supervising provider in addition to the regular physician.
EA0 field 46, positions 250 - 251, is the resubmission number. This is the number of times that the claim itself has been resubmitted, if indeed that is the case. If this is the initial submission, then this field is left blank.
EA0 field 47, positions 252 - 266, is the resubmission reference number. This is an assigned number given to each resubmission.
EA0 field 48, positions 267 - 274, is the date last seen. This is the date that the patient last saw the physician.
EA0 field 49, positions 275 - 282, is the date documentation sent. This is the date that the actual physical documentation for the claim was sent to the payer.
EA0 field 50, position 283, is the homebound indicator. This tells the payer if the patient is confined to the home.
EA0 fields 51 - 54 are not supported at this time so will not be covered.
EA0 field 55, positions 311 - 320, is filler national and must be left blank.
This concludes our very long review of the EA0 record. In our next installment, we'll cover more claim data with the EA1 record.
EA0 field 39, positions 209 - 241, is the lab/facility name. This is the legal name of the facility or lab where any work was done. This is a mandatory field and must be filled in or the claim will be denied.
EA0 field 40, position 242, is the documentation indicator. There are a number of fields in electronic medical billing that indicate that something is signed or on file. This particular field indicates that whatever documentation is needed to back up this claim is indeed on file. This is for legal purposes.
EA0 field 41, position 243, is the documentation type. This is a code that signifies what type of documentation is on file, be it a CMN or a PPG or whatever. This tells the payer what the documentation is.
EA0 field 42, positions 244 - 245, is the function status code. This code relates to the diagnosis of the patient and the status of same. Consult your manual for a more detailed explanation.
EA0 field 43, positions 246 - 247, is the CHAMPUS special program indicator. This is an indicator that tells the payer if this is a claim that has to do with a special program in CHAMPUS. CHAMPUS itself was explained in detail in an earlier article. Please consult previous DA1 record articles for this explanation.
EA0 field 44, position 248, is the CHAMPUS non-availability indicator. This indicator tells the payer that the claim is not allowed to receive CHAMPUS benefits.
EA0 field 45, position 249, is the supervising provider indicator. This tells the payer that the services rendered were overseen by a supervising provider in addition to the regular physician.
EA0 field 46, positions 250 - 251, is the resubmission number. This is the number of times that the claim itself has been resubmitted, if indeed that is the case. If this is the initial submission, then this field is left blank.
EA0 field 47, positions 252 - 266, is the resubmission reference number. This is an assigned number given to each resubmission.
EA0 field 48, positions 267 - 274, is the date last seen. This is the date that the patient last saw the physician.
EA0 field 49, positions 275 - 282, is the date documentation sent. This is the date that the actual physical documentation for the claim was sent to the payer.
EA0 field 50, position 283, is the homebound indicator. This tells the payer if the patient is confined to the home.
EA0 fields 51 - 54 are not supported at this time so will not be covered.
EA0 field 55, positions 311 - 320, is filler national and must be left blank.
This concludes our very long review of the EA0 record. In our next installment, we'll cover more claim data with the EA1 record.
# posted by Medical Information : 1:03 AM
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