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Other Subscriber Secondary ID Logic - Registry Setting

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Avatar PM > Billing > Electronic Billing > 837 Professional

'Y' enables the following fields and functionality:

  • The 'Enable Other Subscriber Secondary Reference Identification (2330A-REF-02) Logic' field in the Guarantor/Program Billing Defaults form (837 Professional section).

  • The 'Other Subscriber Secondary Identification (2330A-REF-02)' field in the HCFA-1500/837P Maintenance Screen, and Posting/Adjustment Codes Definition forms.

  • The following logic:

If liability is distributed to a client whose guarantor is associated with financial classes - 1 (HMO), 4 (Champus), 5 (Commercial), 7 (Medicare A), 8 (Medicare B) or 9 (Blue Cross):

The 2330A-REF-02 segment will populate with "S" unless a value is entered in the 'Other Subscriber Secondary Identification (2330A-REF-02)' field (HCFA-1500/837P Maintenance Screen form).

If liability is transferred to a guarantor in the 837P bill: the 2330A-REF-02 segment will be populated with the value selected in the 'Other Subscriber Secondary Identification (837-P-2330A-REF-02)' field (Posting/Adjustment Codes Definition form).

'N' disables the above fields and functionality.