837P Companion Guide - Peach State Health Plan Peach State ...

CRC06 S Condition Code Required if needed. Use code inCRC03CRC07 S Condition Code Required if needed. Use code inCRC03Segment Name ESPDT --- New Added to AddendaSegment IDCRCLoop ID 2300UsageSituationalSegment NotesElement Usage GuideCommentsIDDescription/ValidValuesCRC01 R Code Category ZZCRC02 R Certification ConditionIndicator“Y” or “N”If No, then choose “NU” in CRC03CRC03 R Condition Indicator Valid values are:AV, NU, S2, STCRC04 S Condition Code Use code in CRC03 if neededCRC05 S Condition Code Use code in CRC03 if neededCRC06 Not UsedCRC07 Not Used66