In a previous article we have the information that is transmitted electronically to the client from any claims which DA0. There are actually two other entries that you transmit when you medical billing of claims to the client. This The DA1 and DA2. In this article we review the record of DA1.
Since some much needed information, in relation to the payment of claims, and only 320 places available for each record, the payer to dismantle three separate records, otherwise all information could be in a record. There are some formats that are actually the problem, they are variable length records to be sent. NSF 3.01 is not one of these formats.
DA1 field 1, positions 1 a.m. to 3 p.m., the record and must be filled with DA1.
DA1 2, item 4-5 is the serial number. Since several DA1 records can be transmitted, each must be an order as DA1-01, DA1-02, etc.
DA1 field 3, positions 6-22, the patient ID and must match the patient ID in the Ca0, DA0 and all other records with this information. These are all cross-found.
DA1 Fields 4, 5, 6, 7 a.m. to 8 p.m., positions 23 to 113, the patient, the fields for street 1 p.m. to 2 a.m., City, State and Zip Code. All except 2nd Address
DA1 area 9, positions 114 - 120, is the amount of the costs. Cost has to do with fee schedules and is far beyond the scope of this article. This amount should be determined by the software so do not sweat it.
DA1 field 10, position 121 - 127, is the other fails amount. This is the amount of the claim that is not paid because payment is not allowed or is there a ceiling for the payment. The theme of the allowable is also about the scope of this article.
DA1 field 11, position 128 - 134, is the crowd. This is the part of the bill that the client has to pay. This does not mean it will be paid, only that they be paid. You can actually less than this.
DA1 field 12, position 135 - 141, is the deductible amount. Most actions have a deductible, or an amount that the patient has to pay before the payment of claims in their entirety. This amount is in this area.
DA1 field 13, position 142 - 147, CO is the insurance included. This is the amount, either by insurance or was covered by another insurance company.
DA1 field 14, position 148 - 155, is the principal amount paid. This is the amount that the payer of your payroll has been paid on this claim. Yes, it is possible to bill a claim even after a partial payment shall be made only if it was a mistake or for a number of other reasons.
In the next part of this series on medical billing of claims, we will continue with our review of the record DA1, pick-up with the field-15.
Michael Russell Your Independent guide to Medical Billing
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