RFI #
1754
Usage of Loop 2330B NM103
Description
Texas Medicaid is requiring the Other Insurance policy effective date and termination date in the loop 2330B Other Payer Last Name or Organization Name field - NM103.
Their companion guide states NM103 should be submitted with the following information:
Positions 1-40 - OtherPayer Name or Organization Name
Positions 41-48 - Policy Effective Date in YYYYMMDD format
Positions 49-56 - Policy Termination Date in YYYYMMDD format.
Is this compliant with the intended usage of this field? They have indicated that it has been approved to use in this manner since there are no other DTP segments to capture policy dates about the other insurance
RFI Response
No. It is not compliant with the TR3 to include a date within the 2330B NM103 Payer last name field.
DOCUMENT ID
005010X223A2