Is the 2320 COB Payer Paid Amount, AMT*D3, required when a claim has been sent to the destination payer that is also the secondary payer?
Also, the 2320 DTP*573 is present (indicates the remittance date of the prior payer is present). Doesn't the DTP*573 satisfy the requirement in the AMT situational rule making it a required segment?
Logically if the value in Loop ID 2000B/SBR01 is S (Secondary) and Loop ID 2320/SBR01 is P (Primary) then the payer reported in Loop ID 2330B performed some type of adjudication on the claim.
The Payer Paid Amount is required if the payer identified in Loop ID 2330B of this instance of the 2320 adjudicated the claim.
The existence of Claim Check or Remittance Date (DTP*573) would be a clear indication that payer adjudication has occurred. However, the Loop ID 2320 Claim Check or Remittance Date is not used when the 2430 loop is present on the claim.