RFI #
999
5 Char APR-DRG in 835
Description
We as a Payer are working with Institutions to implement payment based on APR-DRG. The Providers would like to receive the full APR-DRG used for adjudication back on the 835. Our challenge is that the 2100 CLP11 is maximum 4 characters and the full APR-DRG is 5 characters.
How, in the 835 4010 and 5010, can we present the full APR-DRG back to the Provider?
RFI Response
Sending anything other than what is defined in code source 229 for CLP11 is not allowed.
DOCUMENT ID
005010X221