Report Type 3 for more specific details on the transaction and data elements.
Form Locator. P.
Item. Number. Title.
Loop ID. Segment/Data Element. Inbound Transaction (Health Net is the Receiver).
X12 Data Loop. Id. Segment.
Id. Reference.
Designator Values. Descriptions.
A. An file is an electronic file that contains patient claim information.
This file is files are broken down into loops, segments and elements. •.
Each loop. Inbound Transaction (Health Net is the Receiver).
X12 Data Loop. Id. Segment.
Id. Reference. Designator Values.
Descriptions. A. Specific questions about loops and segments not indicated in the CMS Form Item, CMS Description, EMC ANSI Loop, EMC.CMS Quick Reference Guide for Comparing. ANSI Professional Electronic Data Elements.
ANSI Loop and Segment: Loop and segment that correlates to the CMS paper claim item number in column one. (Parenthesis contains applicable qualifiers.) 3.
Paper Claim Field Name. Loops are made up of segments and segments are made up of data elements.
Each data element is variable length with the standard minimum and maximum length. The loops are organized by categories of information.
In the format related categories of information are associated by their hierarchy as defined by an HL (hierarchical level) segment. loop and segment diagram.
PDF download: Medicare Billing: P and Form CMS Fact Sheet – Centers for The “Medicare Claims Processing Manual” (Internet-Only Manual Publication [IOM Pub.] ) is found specific P claim loop and segment references. Working with the Transaction – Indian Health Service.
* loop and segment diagram * what is healthcare policy id loop * what is healthcare policy identification segment loop * what is healthcare policy identification segment (loop service payment information ref) * blue cross blue shield of massachusetts loop service payment * ansi loop The diagram below is an outline representing the hierarchical structure of the X loops and segments for the SPARCS Inpatient implementation. If you are not familiar with the hierarchical looping structure, we strongly suggest you study Appendix A in any of the published implementation guides before proceeding further.THCIC Claim Technical Discussion – ppt downloadloop and segment diagram |
