There is a Health Plan ID field in the MIS insurance dictionary.
Rebecca Landa
Financial Systems Analyst
The New York Eye & Ear Infirmary
310 E. 14th Street
New York, NY 10003
[EMAIL PROTECTED]
-----Original Message-----
From: meditech-l@mtusers.com [mailto:[EMAIL PROTECTED] On
Behalf Of Gary Ring
Sent: Monday, May 14, 2007 7:56 AM
To: Caskey, Pam; meditech-l@mtusers.com
Subject: Re: [MEDITECH-L] UB04 and Field 51
Pam:
Meditech is wrong, or your Consultant isn't aware, because I
have notified Meditech of this issue in the past and have created a Task
for it, because my interpretation of the NUBC specs is that (1) FL 51 is
required, and (2) the payer's legacy number must be there if there is no
Health Plan ID. Unfortunately, in Massachusetts, most if not all of our
payers have indicated that they want the legacy number in FL 57. So, as
usual, there appears to be no standardization. I am waiting for just 1
payer to reject a claim, or publish a UB04 guideline that states they
want the legacy number in FL 51, so that I have some justification and
documentation for asking Meditech to make a change. Then Meditech will
have to give you the ability to put the legacy number in that field.
Gary J. Ring
Strategic Resource Group, Inc.
11 Jones Road, Peabody, MA 01960
978-807-1573
-------------- Original message --------------
From: "Caskey, Pam" <[EMAIL PROTECTED]>
Is anyone else having issues on the UB04 and field 51
"HEALTH PLAN ID"? I am being told by Blue Cross and others that the
Legacy number must go in this field or the claim will not be processed.
The response from Meditech was that they had never heard of this? I
had also heard it on the Medicare conference call.
Pamela Caskey
Business Office Applications Specialist
St. James Mercy Hospital
411 Canisteo St.
Hornell, NY 14843
607-324-8048
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