Stream: terminology
Topic: Claim Type codes
Dave Shekhar (Jun 01 2020 at 20:27):
In R4, the HL7 codeset for claim-type should now also cover DME (Durable Medical Equipment). I don't see it in the Code System. Any insights? @Grahame Grieve @Lloyd McKenzie @Rob Hausam
http://terminology.hl7.org/CodeSystem/claim-type
Lloyd McKenzie (Jun 01 2020 at 20:30):
@Paul Knapp
Karl M. Davis (Jun 01 2020 at 21:13):
I think the "should" there is my fault: I thought I'd heard that was happening. I guess I'm wrong, though.
Paul Knapp (Jun 02 2020 at 01:11):
@Dave Shekhar Not sure why you need the claim type to change, the type refers to the setting such as institutional or professional - you could claim for DME under either.
Dave Shekhar (Jun 02 2020 at 02:06):
Paul Knapp said:
Dave Shekhar Not sure why you need the claim type to change, the type refers to the setting such as institutional or professional - you could claim for DME under either.
@Paul Knapp Medicare (Part B) has a different Claim code for DME's and doesn't use same claim type as Professional. @Karl M. Davis may be able to chip in with some more context/details.
Rob Hausam (Jun 02 2020 at 11:14):
I don't know what claim type that would be for this, but that would be good to know.
Last updated: Apr 12 2022 at 19:14 UTC
