Change Request Detail
No.
847
Date
10/31/2003
Submitter
Type of Request
Payment of a Health Care Claim
Status
DSMO Process Completed
Business Reason
The Physician Tax I.D. number is not a known element at the hospital level. Additionally, when we contact the physicians they are often not willing to provide this information.
Suggestion
Page numbers 323 and 330 of the 837 Implementation Guide (for institutional).

Segment number is NM109

We suggest this element be deleted since we already provide a UPIN for the physician.
DSMO Category
B
Recommendation
Approved.  In a future guide, elements NM108 and NM109 will be changed from Required to Situational, where they may be sent at the discretion of the submitter.  The UPIN will still be available in the REF segment.
Appeal Recommendation