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I Advice - Medical Billing - GX0 Record Fields 1 Through 7
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GX0 field 4, position 23, is the certification type. This tells the carrier what type of certification this CMN is. The valid responses are I for initial, R for renewal and S for revised. Some carriers will also recognize 1 for initial, 3 for renewal and 2 for revised. Please check wit
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GX0 field 1, positions 1 - 3, is the record type. This needs to be filled in with GX0 or the claim will be denied by the character.
GX0 field 2, positions 4 - 5, is the sequence number. Because there can be up to 99 CMNs transmitted with each claim, the number of that CMN has to be sent to the carrier. This is used to designate GX0-01, GX0-02 and so on.
GX0 field 3, positions 6 - 22, is the patient control number. This number must be the same number that is transmitted in the CA0 record and all subsequent records that transmit the patient ID. If this number doesn't match the other records, the claim will be denied.
GX0 field 4, position 23, is the certification type. This tells the carrier what type of certification this CMN is. The valid responses are I for initial, R for renewal and S for revised. Some carriers will also recognize 1 for initial, 3 for renewal and 2 for revised. Please check with
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GX0 field 1, positions 1 - 3, is the record type. This needs to be filled in with GX0 or the claim will be denied by the character.
GX0 field 2, positions 4 - 5, is the sequence number. Because there can be up to 99 CMNs transmitted with each claim, the number of that CMN has to be sent to the carrier. This is used to designate GX0-01, GX0-02 and so on.
GX0 field 3, positions 6 - 22, is the patient control number. This number must be the same number that is transmitted in the CA0 record and all subsequent records that transmit the patient ID. If this number doesn't match the other records, the claim will be denied.
GX0 field 4, position 23, is the certification type. This tells the carrier what type of certification this CMN is. The valid responses are I for initial, R for renewal and S for revised. Some carriers will also recognize 1 for initial, 3 for renewal and 2 for revised. Please check wit
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GX0 field 1, positions 1 - 3, is the record type. This needs to be filled in with GX0 or the claim will be denied by the character.
GX0 field 2, positions 4 - 5, is the sequence number. Because there can be up to 99 CMNs transmitted with each claim, the number of that CMN has to be sent to the carrier. This is used to designate GX0-01, GX0-02 and so on.
GX0 field 3, positions 6 - 22, is the patient control number. This number must be the same number that is transmitted in the CA0 record and all subsequent records that transmit the patient ID. If this number doesn't match the other records, the claim will be denied.
GX0 field 4, position 23, is the certification type. This tells the carrier what type of certification this CMN is. The valid responses are I for initial, R for renewal and S for revised. Some carriers will also recognize 1 for initial, 3 for renewal and 2 for revised. Please check wit
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GX0 field 3, positions 6 - 22, is the patient control number. This number must be the same number that is transmitted in the CA0 record and all subsequent records that transmit the patient ID. If this number doesn't match the other records, the claim will be denied.
GX0 field 4, position 23, is the certification type. This tells the carrier what type of certification this CMN is. The valid responses are I for initial, R for renewal and S for revised. Some carriers will also recognize 1 for initial, 3 for renewal and 2 for revised. Please check wit
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GX0 field 4, position 23, is the certification type. This tells the carrier what type of certification this CMN is. The valid responses are I for initial, R for renewal and S for revised. Some carriers will also recognize 1 for initial, 3 for renewal and 2 for revised. Please check with your carrier to see which values they accept. As of the writing of this article, only DMERC carriers accept values 1, 2 and 3.
GX0 field 5, position 24, is the type of oxygen system. This is actually more to tell the carrier if the patient is mobile or not when using the oxygen system. The valid responses are Y for portable oxygen that the patient uses in and out of the home, N for portable oxygen but the patient is not mobile and D for a non portable system.
GX0 field 6, positions 25 - 26, is the length of need. This tells the carrier how long, in months, the patient needs the oxygen. If less than 10, this field needs to be left zero filled such as 9 months going over as 09. This is only a projected length of time.
GX0 field 7, position 27, is the type of equipment. This is a one character code that tells the carrier what type of equipment the patient is using to get the oxygen. The valid responses are A for a concentrator, B for liquid stationary, C for gaseous stationary, D for liquid portable, E for gaseous portable and O for other.
In our next installment on medical billing, we'll continue our review of the GX0 record picking up with field number 8.
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