| claims
attachments
The Health Care
Financing Admistration (HCFA, now CMS) defines a claims attachment
as:
a transaction
used to convey supplemental information about the services
furnished to a specific patient to support medical evaluation
for payment, postpayment review, or quality control requirements
that are directly related to one or more specific services
billed on the claim submitted by the provider of the health
care services. An attachment may contain biometric data,
medical history, clinical data, hospital discharge notes,
and laboratory results; medication, rehabilitation, and
optical prescriptions; certifications made by the patient
and/or the medical provider regarding sterilization, hysterectomy
or other services as required by federal and state rules;
or clarifying information such as pertains to transport
by ambulance.
HIPAA transactions
standards for EDI include specifications
for electronic claims attachments (within the ANSI
ASC X12N standard and HL7 messaging standard).
See also:
Last modified:
11-May-2005
[RC]
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