Question

Other Data Elements 6. What are the three situational data elements? How are other data elements used? (3) (3) (2) Payer Information 7. Define destination payer. 8. What does the payer responsibility sequence number code identify? How is it used? Claim Information 9. When would information about the rendering provider be supplied? Claim Control Number 10. How is the claim control number used?

Answer 1

The three situational data elements are:

1. Date of admission

2. Date of discharge

3. Date of injury

other data elements are used widely in the healthcare industry, they are helpful in maintaining the medical history of the patients to carry out their medication course when required. They are also helpful in maintaining the medical records of the patient. Gathering all the information of the patient using these elements may help the practitioners, nurses and patients to maintain the health condition of the patients and minimise the time period.

7. DESTINATION PAYER: In destination payer the claim is received by the person who has insurance.

8. The payers responsibility sequence number code is identified by seeing the level of responsibility of the carrier of insurance. It is identified by seeing how the payment of the claim is done

9. If the payer sends a message with rejection then rendering provider information NPI is required and hence supplied

10. It is a code that is put on the claim, this is present in the system of the payer.

10.