In the documentation for the “005010X223 • 837 • 2310D • NM1 ASC X12N • RENDERING PROVIDER NAME” it states
Required when the Rendering Provider is different than the Attending Provider reported in Loop ID-2310A of this claim.
When state or federal regulatory requirements call for a “combined claim”, that is, a claim that includes both facility and professional components (for example, a Medicaid clinic bill or Critical Access Hospital Claim.)
The question is: Does that “AND” mean “OR” (meaning: if either half is true, 2310D should be included) or does it truly mean “AND” (meaning: only include 2310D if both requirements are met)?
The situational rule truly means “AND.” Both requirements must be met.
Related RFIs: 1902, 1953, 1952