Loops and Segments Table - Loop 2300 - Claim Information
Usage : Situational
Element : CN101
01 = Diagnosis Related Group (DRG)
02 = Per Diem
03 = Variable Per Diem
04 = Flat
05 = Capitated
06 = Percent
09 = Other
Comment :Code to identify a contract type.
Usage : Situational
Element : CN102
Value : Nil
Comment : The amount of the contract agreement (Obligated to Accept as Payment in Full Amount).
Claim Rejections for Invalid/Incomplete Information Submitted in the UTN Field
Palmetto GBA will reject claims when information is entered into the Prior Authorization fields (the 2300 – Claim Information Loop or 2400 Service Line Loop and the Prior Authorization reference (REF) segment, REF02 data element, and the corresponding REF01 data element field) when the information entered is not applicable to the intended use of these fields. Populating these loops and segments for other purposes is incorrect.
Applicable rejections will appear on remittance noticed with:
CARC 15 - The authorization number is missing, invalid, or does not apply to the billed services or provider
N704 - Alert: You may not appeal this decision but can resubmit this claim/service with corrected information if warranted;
N517 - Resubmit a new claim with the requested information
Medicare Guideline posts
- Finding Medicare fee schedule - HOw to Guide
- LCD and procedure to diagnosis lookup - How to Gui...
- Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline,
- Step by step Guide Medicare participation program
- Medicare Fee for Office Visit CPT Codes - CPT Code 99213, 99214, 99203
- Medicare revalidation FAQ
- Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee
- Medicare claim address, phone numbers, payor id - revised list
Top Medicare billing tips
Procedure code and description 93000 - Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report -average fee...
CPT CODE and description 90460 - Immunization administration through 18 years of age via any route of administration, with counseling by ...
CPT CODE and Description 97001 - Physical therapy evaluation Average fee payment $70 - $80 97002 - Physical therapy re-evaluation Ave...
Flow Cytometry is a highly complex process by which blood, body fluids, bone marrow and tissue can be examined. It provides important immun...
CPT CODE and Description 90785 - Interactive complexity (List separately in addition to the code for primary procedure) 90791 - Psychi...
This post has Most used J code list and we are constantly updating with example . If you are looking particular J code, use search button. ...
Here is the big list of Medical terminology abbreviation @—at A & P—anatomy and physiology ab—abortion abd—abdominal ABG—arterial ...
Place of Service: A two-digit code used on health care professional claims to indicate the setting in which a service was provided. Place...
Complete Blood Count (CBC) Testing A complete blood count consists of measuring a blood specimen for levels of hemoglobin, hematocrit, red...
procedure code and description 93922 LIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUDIES OF UPPER OR LOWER EXTREMITY ARTERIES, (EG, FOR LOW...