I would like to know the official interpretation for Loop 2300 CLM 07 Provider Accepts Accpts Assignement Code. How should this element be completed for payers that we do not have contracts with.
What is the rule for this element. If we say yes to accept assignment and there is an underpayment does that mean we are not able to request the remaining reimbursement from the payer?
A value of C – Not Assigned should be used when the provider does not accept assignment or does not have a participation agreement with the destination payer.
Questions regarding underpayments and the assignment reported on an individual claim would need to be discussed between the individual parties involved. X12N WG2 cannot provide guidance on these type of reimbursement issues.