ator needs to be filled in if a co pay is required for the item or procedure. A co pay is when the patient has to pay a certain portion of the item depending on what it is. Most insurance's today do havContinuing with our series on medical billing of electronic claims, this installment focuses on the FB0 record, which transmits additional line item detail, commencing with field number 20.

FB0 field 20, position 153, is the special pricing indicator. There are certain items that have special pricing factors. The indicator for these items needs to be filled in. If it is, the item in question is billed a certain amount that may be different from the regular amount for this item depending on who the carrier is. For example, test strips for Medicare, which may normally go for $1 a piece for a regular payer, might be specially priced at 80 cents a piece for Medicare. The amount will vary from payer to payer and item to item.

FB0 field 21, position 154, is the co pay status indicator. This indicator needs to be filled in if a co pay is required for the item or procedure. A co pay is when the patient has to pay a certain portion of the item depending on what it is. Most insurance's today do have

d 20, position 153, is the special pricing indicator. There are certain items that have special pricing factors. The indicator for these items needs to be filled in. If it is, the item in question is billed a certain amount that may be different from the regular amount for this item depending on who the carrier is. For example, test strips for Medicare, which may normally go for $1 a piece for a regular payer, might be specially priced at 80 cents a piece for Medicare. The amount will vary from payer to payer and item to item.

FB0 field 21, position 154, is the co pay status indicator. This indicator needs to be filled in if a co pay is required for the item or procedure. A co pay is when the patient has to pay a certain portion of the item depending on what it is. Most insurance's today do hav

lled a certain amount that may be different from the regular amount for this item depending on who the carrier is. For example, test strips for Medicare, which may normally go for $1 a piece for a regular payer, might be specially priced at 80 cents a piece for Medicare. The amount will vary from payer to payer and item to item.

FB0 field 21, position 154, is the co pay status indicator. This indicator needs to be filled in if a co pay is required for the item or procedure. A co pay is when the patient has to pay a certain portion of the item depending on what it is. Most insurance's today do hav

payer, might be specially priced at 80 cents a piece for Medicare. The amount will vary from payer to payer and item to item.

FB0 field 21, position 154, is the co pay status indicator. This indicator needs to be filled in if a co pay is required for the item or procedure. A co pay is when the patient has to pay a certain portion of the item depending on what it is. Most insurance's today do hav

ator needs to be filled in if a co pay is required for the item or procedure. A co pay is when the patient has to pay a certain portion of the item depending on what it is. Most insurance's today do have co pays though there are still some, like certain Blue Cross payers, that do not have co pays. This of course depends on the level of coverage that the patient has.

FB0 field 22, positions 155, is the EPSDT indicator. EPSDT is an entitlement program for patients who don't have regular insurance and qualify because of poor economic conditions. If a person qualifies, this indicator must be transmitted to the payer. This will usually result in the claim being paid, most times in full, but at least partially.

FB0 field 23, position 156, is the family planning indicator. This is an indicator that needs to be filled in if the claim is a family plan claim. This is very rarely used and most carriers don't even recognize it.

FB0 field 24, position 157, is the DME charge indicator. DME stands