837P Companion Guide - Peach State Health Plan Peach State ...
837P Companion Guide - Peach State Health Plan Peach State ...
837P Companion Guide - Peach State Health Plan Peach State ...
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Segment NameSegment IDLoop IDUsageSegment NotesElement UsageIDBilling/Pay to Hierarchical LevelHL2000ARequired<strong>Guide</strong>Description/ValidValuesCommentsHL01 R Hierarchical ID Number HL01 must begin with “1” and beincremented by one each time anHL is used in the transaction.Only numeric values are allowedin HL01.HL02 N/A Hierarchical Parent IDNumberHL03 R Hierarchical LevelCodeHL04 R Hierarchical ChildCodeNot Used20: Information Source1: Additional Subordinate HL DataSegment in this hierarchicalstructure.Segment Name Billing/Pay to Provider Specialty InformationSegment ID PRVLoop ID 2000A Repeat : 1UsageSituationalSegment NotesElement Usage <strong>Guide</strong>CommentsIDDescription/ValidValuesPRV01 R Provider Code BI = Billing40