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  • Casual Articles - Medical Billing - GX0 Record Fields 1 Through 7

    Medical Billing - XA0 Record Fields 18 Through 23
    Trailer records are a subtle animal. They don't seem to do much, but in the world of medical billing and the electronic transmission of claims, trailer records can mean the difference between a whole claim file going through or being rejected like a bad virus. In this installment of our series on medical billing and electronic claims submission, we'll be c
    l number. This number must be the same number that is transmitted in the CA0 record and all subsequent records that transmit the patient ID. If this number doesn't match the other records, the claim will be denied.

    GX0 field 4, position 23, is the certification type. This tells the

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    When engaged in medical billing, oxygen claims are so complicated and require so much information, especially when using electronic means and NSF 3.01 specifications, that three records types are needed to be able to transmit all the information that is required to bill these claims. These records are the GX0 record, GX1 record and GX2 record. The GX0 record is the main record containing the meat of the oxygen information. The GX1 record is used to transmit extra narrative information. The GX2 record is used to transmit facility information for the oxygen claim. In this installment, we're going to begin our review of the GX0 record. These three records are the last of our CMN records for NSF 3.01 record specifications.

    GX0 field 1, positions 1 - 3, is the record type. This needs to be filled in with GX0 or the claim will be denied by the character.

    GX0 field 2, positions 4 - 5, is the sequence number. Because there can be up to 99 CMNs transmitted with each claim, the number of that CMN has to be sent to the carrier. This is used to designate GX0-01, GX0-02 and so on.

    GX0 field 3, positions 6 - 22, is the patient control number. This number must be the same number that is transmitted in the CA0 record and all subsequent records that transmit the patient ID. If this number doesn't match the other records, the claim will be denied.

    GX0 field 4, position 23, is the certification type. This tells the

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    records are the GX0 record, GX1 record and GX2 record. The GX0 record is the main record containing the meat of the oxygen information. The GX1 record is used to transmit extra narrative information. The GX2 record is used to transmit facility information for the oxygen claim. In this installment, we're going to begin our review of the GX0 record. These three records are the last of our CMN records for NSF 3.01 record specifications.

    GX0 field 1, positions 1 - 3, is the record type. This needs to be filled in with GX0 or the claim will be denied by the character.

    GX0 field 2, positions 4 - 5, is the sequence number. Because there can be up to 99 CMNs transmitted with each claim, the number of that CMN has to be sent to the carrier. This is used to designate GX0-01, GX0-02 and so on.

    GX0 field 3, positions 6 - 22, is the patient control number. This number must be the same number that is transmitted in the CA0 record and all subsequent records that transmit the patient ID. If this number doesn't match the other records, the claim will be denied.

    GX0 field 4, position 23, is the certification type. This tells the

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    installment, we're going to begin our review of the GX0 record. These three records are the last of our CMN records for NSF 3.01 record specifications.

    GX0 field 1, positions 1 - 3, is the record type. This needs to be filled in with GX0 or the claim will be denied by the character.

    GX0 field 2, positions 4 - 5, is the sequence number. Because there can be up to 99 CMNs transmitted with each claim, the number of that CMN has to be sent to the carrier. This is used to designate GX0-01, GX0-02 and so on.

    GX0 field 3, positions 6 - 22, is the patient control number. This number must be the same number that is transmitted in the CA0 record and all subsequent records that transmit the patient ID. If this number doesn't match the other records, the claim will be denied.

    GX0 field 4, position 23, is the certification type. This tells the

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    GX0 field 2, positions 4 - 5, is the sequence number. Because there can be up to 99 CMNs transmitted with each claim, the number of that CMN has to be sent to the carrier. This is used to designate GX0-01, GX0-02 and so on.

    GX0 field 3, positions 6 - 22, is the patient control number. This number must be the same number that is transmitted in the CA0 record and all subsequent records that transmit the patient ID. If this number doesn't match the other records, the claim will be denied.

    GX0 field 4, position 23, is the certification type. This tells the

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    l number. This number must be the same number that is transmitted in the CA0 record and all subsequent records that transmit the patient ID. If this number doesn't match the other records, the claim will be denied.

    GX0 field 4, position 23, is the certification type. This tells the carrier what type of certification this CMN is. The valid responses are I for initial, R for renewal and S for revised. Some carriers will also recognize 1 for initial, 3 for renewal and 2 for revised. Please check with your carrier to see which values they accept. As of the writing of this article, only DMERC carriers accept values 1, 2 and 3.

    GX0 field 5, position 24, is the type of oxygen system. This is actually more to tell the carrier if the patient is mobile or not when using the oxygen system. The valid responses are Y for portable oxygen that the patient uses in and out of the home, N for portable oxygen but the patient is not mobile and D for a non portable system.

    GX0 field 6, positions 25 - 26, is the length of need. This tells the carrier how long, in months, the patient needs the oxygen. If less than 10, this field needs to be left zero filled such as 9 months going over as 09. This is only a projected length of time.

    GX0 field 7, position 27, is the type of equipment. This is a one character code that tells the carrier what type of equipment the patient is using to get the oxygen. The valid responses a

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