For BCBSIL HMO plans, the default is “597”. For BCBSTX HMO plans, the default is “DFAULT”. For BCBSOK HMO plans, there is not a default provider ID. For BCBSNM HMO plans please send “790000000000NMANYPCP”. >> NM110 706 Entity Relationship Code X 1 ID 2/2 Code describing entity relationship 72 Required to be sent as “72”. 72 Unknown Segment: LS Additional Reporting Categories Position: 6880 Loop: 2700 Mandatory Level: Detail Usage: REQUIRED Max Use: 1 Syntax Notes: Comments: 1 See Figures Appendix for an explanation of the use of the LS and LE segments. Notes: Example: LS*2700~ Data Element Summary Ref. Data Des. Element Name Attributes M LS01 447 Loop Identifier Code M 1 AN 1/4 The loop ID number given on the transaction set diagram is the value for this data element in segments LS and LE 2700 Required to be sent as “2700”. The 2700 loop is required only on the subscriber record. It can be sent on a dependent record, but it is not processed for them during the file translation. This loop is utilized for sending reporting characteristic information. The minimum required characteristic to send on any given file feed is for the CMS Employment Status Code (CMSESC). This is to meet the CMS 111 federal mandate. The specifications for this characteristic is outlined below along with an example of how the 2700 loop should look. LS*2700~ LX*0001~ N1*75*CMSESC~
For BCBSIL HMO plans, the default is “597”. For BCBSTX HMO plans, the default is “DFAULT”. For BCBSOK HMO plans, there is not a default provider ID. For BCBSNM HMO plans please send “790000000000NMANYPCP”. >> NM110 706 Entity Relationship Code X 1 ID 2/2 Code describing entity relationship 72 Required to be sent as “72”. 72 Unknown Segment: LS Additional Reporting Categories Position: 6880 Loop: 2700 Mandatory Level: Detail Usage: REQUIRED Max Use: 1 Syntax Notes: Comments: 1 See Figures Appendix for an explanation of the use of the LS and LE segments. Notes: Example: LS*2700~ Data Element Summary Ref. Data Des. Element Name Attributes M LS01 447 Loop Identifier Code M 1 AN 1/4 The loop ID number given on the transaction set diagram is the value for this data element in segments LS and LE 2700 Required to be sent as “2700”. The 2700 loop is required only on the subscriber record. It can be sent on a dependent record, but it is not processed for them during the file translation. This loop is utilized for sending reporting characteristic information. The minimum required characteristic to send on any given file feed is for the CMS Employment Status Code (CMSESC). This is to meet the CMS 111 federal mandate. The specifications for this characteristic is outlined below along with an example of how the 2700 loop should look. LS*2700~ LX*0001~ N1*75*CMSESC~
834_5010_Basic_Standard_834_Guide.docx