Section title: Requests for Interpretation
RFI #
1892
Provider contract Plan ID
Description

In Reference to RFI 1426- There is growing need to report the Provider Contract Plan ID in the 837 somewher...to insure that the provider/payer contract obligations/adjustments are being linked appropriatly. If the 837 is to be used as a standard for payer claim adjudication, are there any plans to designate a place for such information to exist in the 5010X222/ X223 837?

RFI Response

There is no current change request for adding a Provider Contract Plan ID to the 837 Implementation Guides, and no one has presented a business need, so the answer would be no, there is no current plan.

RFI Recommendation

If you have a business need for a Provider Contract Plan ID, you may submit an ASC X12 change request to add this to a future version of the TR3. Change requests are submitted at http://changerequest.x12.org/.

DOCUMENT ID
005010X223