Question

7.5 The HIPAA 837P Claim * What three things are PMP vendors responsible for on HIPAA 837P claims? Use of PMPS (3) (1) (2) Claim Organization 2. Give an example of a data element. How are data elements like Item Numbers? 3. What are the five major sections or levels of the claim? (1) (4) (5) (2) (3) 4. How are the five major sections of data elements organized? Must all data elements be submitted with each claim sent? 5. What are the four types of data elements? (3) (1) (4) (2)

Answer 1

Ans-1

Internal audit

Training

Program management

Ans-2

Example- account number,name ,address these data are form data elements

Ans-3These five major sections include: (1) provider information; (2) subscriber information; (3) payer information; (4) claim information; and (5) service line information.

Ans-4

Each data elements is an different entity and must be putted different.

It is not necessory to put all data with each claim

Ans-5

1. An identification such as a data element name
2. A clear data element definition
3. One or more representation terms
4. Optional enumerated values Code