Change Request Detail
No.
857
Date
2/12/2004
Submitter
Type of Request
Institutional Claim (UB-92)
Status
DSMO Process Completed
Business Reason
In the IG of the Institutional, there are two NTE segments with repeats of 10 each in the 2300 loop (claim level). There is no NTE segment listed for the 2400 loop (service line).

On page 205 of the IG, the first NTE segment in the 2300 loop (for claim information), note number 1 states the following:
"Information in the NTE segment in Loop ID-2300 applies to the entire claim unless overridden by information in the NTE segment in Loop ID-2400. Information is considered to be overridden when the value in NTE01 in Loop ID-2400 is the same as the value in NTE01 in Loop ID-2300."

Is the note on page 205 incorrect or should there be an NTE segment in Loop ID-2400?

If there should be an NTE segment in Loop ID-2400, what position should it be at (the IG states that the ordinal positions of segments are explicitly specified [see page A.11, A.1.3.11.7 in the IG])? 
Suggestion
Please refer to the the information entered in the business reason for page numbers.
DSMO Category
C
Recommendation
Approve. The DSMO note that the reference has been corrected in a future implementation guide.
Appeal Recommendation