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  • Casual Articles - Medical Billing - DA1 Record Fields 1 Through 14

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    nce number. Because multiple DA1 records can be transmitted, each one must have a sequence, such as DA1-01, DA1-02, etc.

    DA1 field 3, positions 6 - 22, is the patient ID and must match the patient ID in the CA0, DA0

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    In a previous article we covered the information that was electronically transmitted to the payer of the claims, which is the DA0 record. There are actually two other records that get transmitted when doing medical billing of claims to the payer. These are the DA1 and DA2 records. In this article, we're going to review the DA1 record.

    Because some much information needs to be provided regarding the payer of the claims and only 320 positions are available for each record, the payer information has to be broken up between three separate records, otherwise all the information could go in one record. There are some formats that actually address this problem by allowing variable length records to be sent. NSF 3.01 is not one of those formats.

    DA1 field 1, positions 1 - 3, is the record type and must be filled with DA1.

    DA1 field 2, positions 4 - 5 is the sequence number. Because multiple DA1 records can be transmitted, each one must have a sequence, such as DA1-01, DA1-02, etc.

    DA1 field 3, positions 6 - 22, is the patient ID and must match the patient ID in the CA0, DA0

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    g of claims to the payer. These are the DA1 and DA2 records. In this article, we're going to review the DA1 record.

    Because some much information needs to be provided regarding the payer of the claims and only 320 positions are available for each record, the payer information has to be broken up between three separate records, otherwise all the information could go in one record. There are some formats that actually address this problem by allowing variable length records to be sent. NSF 3.01 is not one of those formats.

    DA1 field 1, positions 1 - 3, is the record type and must be filled with DA1.

    DA1 field 2, positions 4 - 5 is the sequence number. Because multiple DA1 records can be transmitted, each one must have a sequence, such as DA1-01, DA1-02, etc.

    DA1 field 3, positions 6 - 22, is the patient ID and must match the patient ID in the CA0, DA0

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    ositions are available for each record, the payer information has to be broken up between three separate records, otherwise all the information could go in one record. There are some formats that actually address this problem by allowing variable length records to be sent. NSF 3.01 is not one of those formats.

    DA1 field 1, positions 1 - 3, is the record type and must be filled with DA1.

    DA1 field 2, positions 4 - 5 is the sequence number. Because multiple DA1 records can be transmitted, each one must have a sequence, such as DA1-01, DA1-02, etc.

    DA1 field 3, positions 6 - 22, is the patient ID and must match the patient ID in the CA0, DA0

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    blem by allowing variable length records to be sent. NSF 3.01 is not one of those formats.

    DA1 field 1, positions 1 - 3, is the record type and must be filled with DA1.

    DA1 field 2, positions 4 - 5 is the sequence number. Because multiple DA1 records can be transmitted, each one must have a sequence, such as DA1-01, DA1-02, etc.

    DA1 field 3, positions 6 - 22, is the patient ID and must match the patient ID in the CA0, DA0

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    nce number. Because multiple DA1 records can be transmitted, each one must have a sequence, such as DA1-01, DA1-02, etc.

    DA1 field 3, positions 6 - 22, is the patient ID and must match the patient ID in the CA0, DA0 and all other records containing this information. These are all cross-matched.

    DA1 fields 4, 5, 6, 7 and 8, positions 23 - 113, are the patient's address fields which include street address 1 and 2, city, state and zip. All are required except address 2.

    DA1 field 9, positions 114 - 120, is the cost containment amount. Cost containment has to do with fee schedules and is way beyond the scope of this article. This amount should be calculated by your software so don't sweat it.

    DA1 field 10, positions 121 - 127, is the other disallowance amount. This is the amount of the claim that is not paid either because it is not allowed payment or there is a cap on the payment. The subject of allowables is also beyond the scope of this article.

    DA1 field 11, positions 128 - 134, is the allowed amount. This is the part of the bill that the payer is allowed to

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