Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 21 - TRADE PRACTICES
Subchapter T - SUBMISSION OF CLEAN CLAIMS
Section 21.2803 - Elements of a Clean Claim
Universal Citation: 28 TX Admin Code § 21.2803
Current through Reg. 50, No. 13; March 28, 2025
(a) Filing a clean claim. A physician or a provider submits a clean claim by providing to an MCC or any other entity designated for receipt of claims under § 21.2811 of this title (related to Disclosure of Processing Procedures):
(1) for
nonelectronic claims other than dental claims, the required data elements
specified in subsection (b) of this section;
(2) for nonelectronic dental claims filed
with an HMO, the required data elements specified in subsection (c) of this
section;
(3) for electronic claims
and for electronic dental claims filed with an HMO, the required data elements
specified in subsections (e) and (f) of this section; and
(4) if applicable, any coordination of
benefits or nonduplication of benefits information under subsection (d) of this
section.
(b) Required data elements. CMS has developed claim forms that provide much of the information needed to process claims. Insurance Code Chapter 1204 identifies two of these forms, HCFA 1500 and UB-82/HCFA, and their successor forms, as required for the submission of certain claims. The terms in paragraphs (1) - (3) of this subsection are based on the terms CMS used on successor forms CMS-1500 (02/12), CMS-1500 (08/05), UB-04 CMS-1450, and UB-04. The parenthetical information following each term and data element refers to the applicable CMS claim form and the field number to which that term corresponds on the CMS claim form. Mandatory form usage dates and optional form transition dates for nonelectronic claims filed or refiled by physicians or noninstitutional providers are set out in paragraphs (1) and (2) of this subsection. Mandatory form usage dates and optional form transition dates for nonelectronic claims filed or refiled by institutional providers are set out in paragraph (3) of this subsection.
(1)
Required form and data elements for physicians or noninstitutional providers
for claims filed or refiled on or after the later of April 1, 2014, or the
earliest compliance date required by CMS for mandatory use of the CMS-1500
(02/12) claim form for Medicare claims. The CMS-1500 (02/12) claim form and the
data elements described in this paragraph are required for claims filed or
refiled by physicians or noninstitutional providers on or after the later of
these two dates: April 1, 2014, or the earliest compliance date required by CMS
for mandatory use of the CMS-1500 (02/12) claim form for Medicare claims. The
CMS-1500 (02/12) claim form must be completed in compliance with the special
instructions applicable to the data elements as described by this paragraph for
clean claims filed by physicians and noninstitutional providers. Further, on
notification that an MCC is prepared to accept claims filed or refiled on form
CMS-1500 (02/12), a physician or noninstitutional provider may submit claims on
form CMS-1500 (02/12) before the mandatory use date described in this
paragraph, subject to the required data elements set out in this paragraph.
(A) subscriber's or patient's plan ID number
(CMS-1500 (02/12), field 1a) is required;
(B) patient's name (CMS-1500 (02/12), field
2) is required;
(C) patient's date
of birth and sex (CMS-1500 (02/12), field 3) are required;
(D) subscriber's name (CMS-1500 (02/12),
field 4) is required if shown on the patient's ID card;
(E) patient's address (street or P.O. Box,
city, state, ZIP Code) (CMS-1500 (02/12), field 5) is required;
(F) patient's relationship to subscriber
(CMS-1500 (02/12), field 6) is required;
(G) subscriber's address (street or P.O. Box,
city, state, ZIP Code) (CMS-1500 (02/12), field 7) is required, but the
physician or the provider may enter "Same" if the subscriber's address is the
same as the patient's address required by subparagraph (E) of this
paragraph;
(H) other insured's or
enrollee's name (CMS-1500 (02/12), field 9) is required if the patient is
covered by more than one health benefit plan, generally in situations described
in subsection (d) of this section. If the required data element specified in
subparagraph (N) of this paragraph, "disclosure of any other health benefit
plans," is answered "Yes," this element is required unless the physician or the
provider submits with the claim documented proof that the physician or the
provider has made a good faith but unsuccessful attempt to obtain from the
enrollee or the insured any of the information needed to complete this data
element;
(I) other insured's or
enrollee's policy or group number (CMS-1500 (02/12), field 9a) is required if
the patient is covered by more than one health benefit plan, generally in
situations described in subsection (d) of this section. If the required data
element specified in subparagraph (N) of this paragraph, "disclosure of any
other health benefit plans," is answered "Yes," this element is required unless
the physician or the provider submits with the claim documented proof that the
physician or the provider has made a good faith but unsuccessful attempt to
obtain from the enrollee or the insured any of the information needed to
complete this data element;
(J)
other insured's or enrollee's HMO or insurer name (CMS-1500 (02/12), field 9d)
is required if the patient is covered by more than one health benefit plan,
generally in situations described in subsection (d) of this section. If the
required data element specified in subparagraph (N) of this paragraph,
"disclosure of any other health benefit plans," is answered "Yes," this element
is required unless the physician or the provider submits with the claim
documented proof that the physician or the provider has made a good faith but
unsuccessful attempt to obtain from the enrollee or the insured any of the
information needed to complete this data element;
(K) whether the patient's condition is
related to employment, auto accident, or other accident (CMS-1500 (02/12),
field 10) is required, but facility-based radiologists, pathologists, or
anesthesiologists must enter "N" if the answer is "No" or if the information is
not available;
(L) subscriber's
policy number (CMS-1500 (02/12), field 11) is required;
(M) HMO or insurance company name (CMS-1500
(02/12), field 11c) is required;
(N) disclosure of any other health benefit
plans (CMS-1500 (02/12), field 11d) is required;
(i) if answered "Yes," then:
(I) data elements specified in subparagraphs
(H) - (J) of this paragraph are required unless the physician or the provider
submits with the claim documented proof that the physician or the provider has
made a good faith but unsuccessful attempt to obtain from the enrollee or the
insured any of the information needed to complete the data elements in
subparagraphs (H) - (J) of this paragraph;
(II) when submitting claims to secondary
payor MCCs the data element specified in subparagraph (GG) of this paragraph is
required;
(ii) if
answered "No," the data elements specified in subparagraphs (H) - (J) of this
paragraph are not required if the physician or the provider has on file a
document signed within the past 12 months by the patient or authorized person
stating that there is no other health care coverage. Although the submission of
the signed document is not a required data element, the physician or the
provider must submit a copy of the signed document to the MCC on
request;
(O) patient's
or authorized person's signature or a notation that the signature is on file
with the physician or the provider (CMS-1500 (02/12), field 12) is
required;
(P) subscriber's or
authorized person's signature or a notation that the signature is on file with
the physician or the provider (CMS-1500 (02/12), field 13) is
required;
(Q) date of injury
(CMS-1500 (02/12), field 14) is required if due to an accident;
(R) when applicable, the physician or the
provider must enter the name of the referring primary care physician, specialty
physician, hospital, or other source (CMS-1500 (02/12), field 17). However, if
there is no referral, the physician or the provider must enter "Self-referral"
or "None";
(S) if there is a
referring physician noted in CMS-1500 (02/12), field 17, the physician or the
provider must enter the ID Number of the referring primary care physician,
specialty physician, or hospital (CMS-1500 (02/12), field 17a);
(T) if there is a referring physician noted
in CMS-1500 (02/12), field 17, the physician or the provider must enter the NPI
number of the referring primary care physician, specialty physician, or
hospital (CMS-1500 (02/12), field 17b) if the referring physician is eligible
for an NPI number;
(U) for
diagnosis codes or nature of illness or injury (CMS-1500 (02/12), field 21),
the physician or the provider:
(i) must
identify the ICD code version being used:
(I)
for all claims arising before the date on which CMS mandates the use of the
ICD-10-CM for claims filed under the Medicare program, by entering either the
number "9" to indicate the ICD-9-CM or the number "0" to indicate the ICD-10-CM
between the vertical, dotted lines in the upper right-hand portion of the
field;
(II) for all claims arising
on or after the date on which CMS mandates the use of the ICD-10-CM for claims
filed under the Medicare program, by entering the number "0" to indicate the
ICD-10-CM between the vertical, dotted lines in the upper right-hand portion of
the field;
(III) should CMS no
longer require identification of the ICD code version being used, may indicate
no ICD code version between the vertical dotted lines in the upper right-hand
portion of the field;
(ii) must enter at least one diagnosis code,
and
(iii) may enter up to 12
diagnosis codes, but the primary diagnosis must be entered first;
(V) if the claim is a duplicate
claim, a "D" is required; if the claim is a corrected claim, a "C" is required
(CMS-1500 (02/12), field 22);
(W)
verification number is required (CMS-1500 (02/12), field 23) if services have
been verified as provided by §
19.1719 of this title (relating to
Verification for Health Maintenance Organizations and Preferred Provider
Benefit Plans). If no verification has been provided, a prior authorization
number (CMS-1500 (02/12), field 23) is required when prior authorization is
required and granted;
(X) date(s)
of service (CMS-1500 (02/12), field 24A) is required;
(Y) place of service code(s) (CMS-1500
(02/12), field 24B) is required;
(Z) procedure/modifier code(s) (CMS-1500
(02/12), field 24D) is required. If a physician or a provider uses an unlisted
or not classified procedure code or a National Drug Code (NDC), the physician
or provider must enter a narrative description of the procedure or the NDC in
the shaded area above the corresponding completed service line;
(AA) diagnosis code by specific service
(CMS-1500 (02/12), field 24E) is required with the first code linked to the
applicable diagnosis code for that service in field 21;
(BB) charge for each listed service (CMS-1500
(02/12), field 24F) is required;
(CC) number of days or units (CMS-1500
(02/12), field 24G) is required;
(DD) the NPI number of the rendering
physician or provider (CMS-1500 (02/12), field 24J, unshaded portion) is
required if the rendering provider is not the billing provider listed in
CMS-1500 (02/12), field 33, and if the rendering physician or provider is
eligible for an NPI number;
(EE)
physician's or provider's federal tax ID number (CMS-1500 (02/12), field 25) is
required;
(FF) whether assignment
was accepted (CMS-1500 (02/12), field 27) is required if assignment under
Medicare has been accepted;
(GG)
total charge (CMS-1500 (02/12), field 28) is required;
(HH) amount paid (CMS-1500 (02/12), field 29)
is required if an amount has been paid to the physician or the provider
submitting the claim by the patient or subscriber, or on behalf of the patient
or subscriber or by a primary plan in compliance with subparagraph (N) of this
paragraph and as required by subsection (d) of this section;
(II) signature of physician or provider or a
notation that the signature is on file with the MCC (CMS-1500 (02/12), field
31) is required;
(JJ) name and
address of the facility where services were rendered, if other than home,
(CMS-1500 (02/12), field 32) is required;
(KK) the NPI number of the facility where
services were rendered, if other than home, (CMS-1500 (02/12), field 32a) is
required if the facility is eligible for an NPI;
(LL) physician's or provider's billing name,
address, and telephone number (CMS-1500 (02/12), field 33) is required; (MM)
the NPI number of the billing provider (CMS-1500 (02/12), field 33a) is
required if the billing provider is eligible for an NPI number; and (NN)
provider number (CMS-1500 (02/12), field 33b) is required if the MCC required
provider numbers and gave notice of the requirement to physicians and providers
before June 17, 2003.
(2) Required form and data elements for
physicians or noninstitutional providers for claims filed or refiled before the
later of April 1, 2014, or the earliest compliance date required by CMS for
mandatory use of the CMS-1500 (02/12) claim form for Medicare claims. The
CMS-1500 (08/05) claim form and the data elements described in this paragraph
are required for claims filed or refiled by physicians or noninstitutional
providers before the later of these two dates: April 1, 2014, or the earliest
compliance date required by CMS for mandatory use of the CMS-1500 (02/12) claim
form for Medicare claims. The CMS-1500 (08/05) claim form must be completed in
compliance with the special instructions applicable to the data element as
described in this paragraph for clean claims filed by physicians and
noninstitutional providers. However, on notification that an MCC is prepared to
accept claims filed or refiled on form CMS-1500 (02/12), a physician or
noninstitutional provider may submit claims on form CMS-1500 (02/12) before the
subsection (b)(1) of this section mandatory use date described in this
paragraph, subject to the subsection (b)(1) of this section required data
elements set out in the paragraph.
(A)
subscriber's or patient's plan ID number (CMS-1500 (08/05), field 1a) is
required;
(B) patient's name
(CMS-1500 (08/05), field 2) is required;
(C) patient's date of birth and sex (CMS-1500
(08/05), field 3) is required;
(D)
subscriber's name (CMS-1500 (08/05), field 4) is required, if shown on the
patient's ID card;
(E) patient's
address (street or P.O. Box, city, state, ZIP Code) (CMS-1500 (08/05), field 5)
is required;
(F) patient's
relationship to subscriber (CMS-1500 (08/05), field 6) is required;
(G) subscriber's address (street or P.O. Box,
city, state, ZIP Code) (CMS-1500 (08/05), field 7) is required, but physician
or provider may enter "Same" if the subscriber's address is the same as the
patient's address required by subparagraph (E) of this paragraph;
(H) other insured's or enrollee's name
(CMS-1500 (08/05), field 9) is required if the patient is covered by more than
one health benefit plan, generally in situations described in subsection (d) of
this section. If the required data element specified in subparagraph (Q) of
this paragraph, "disclosure of any other health benefit plans," is answered
"Yes," this element is required unless the physician or the provider submits
with the claim documented proof that the physician or the provider has made a
good faith but unsuccessful attempt to obtain from the enrollee or the insured
any of the information needed to complete this data element;
(I) other insured's or enrollee's policy or
group number (CMS-1500 (08/05), field 9a) is required if the patient is covered
by more than one health benefit plan, generally in situations described in
subsection (d) of this section. If the required data element specified in
subparagraph (Q) of this paragraph, "disclosure of any other health benefit
plans," is answered "Yes," this element is required unless the physician or the
provider submits with the claim documented proof that the physician or the
provider has made a good faith but unsuccessful attempt to obtain from the
enrollee or the insured any of the information needed to complete this data
element;
(J) other insured's or
enrollee's date of birth (CMS-1500 (08/05), field 9b) is required if the
patient is covered by more than one health benefit plan, generally in
situations described in subsection (d) of this section. If the required data
element specified in subparagraph (Q) of this paragraph, "disclosure of any
other health benefit plans," is answered "Yes," this element is required unless
the physician or the provider submits with the claim documented proof that the
physician or the provider has made a good faith but unsuccessful attempt to
obtain from the enrollee or the insured any of the information needed to
complete this data element;
(K)
other insured's or enrollee's plan name (employer, school, etc.), (CMS-1500
(08/05), field 9c) is required if the patient is covered by more than one
health benefit plan, generally in situations described in subsection (d) of
this section. If the required data element specified in subparagraph (Q) of
this paragraph, "disclosure of any other health benefit plans," is answered
"Yes," this element is required unless the physician or the provider submits
with the claim documented proof that the physician or the provider has made a
good faith but unsuccessful attempt to obtain from the enrollee or the insured
any of the information needed to complete this data element. If the field is
required and the physician or the provider is a facility-based radiologist,
pathologist, or anesthesiologist with no direct patient contact, the physician
or the provider must either enter the information or enter "NA" (not available)
if the information is unknown;
(L)
other insured's or enrollee's HMO or insurer name (CMS-1500 (08/05), field 9d)
is required if the patient is covered by more than one health benefit plan,
generally in situations described in subsection (d) of this section. If the
required data element specified in subparagraph (Q) of this paragraph,
"disclosure of any other health benefit plans," is answered "Yes," this element
is required unless the physician or the provider submits with the claim
documented proof that the physician or the provider has made a good faith but
unsuccessful attempt to obtain from the enrollee or the insured any of the
information needed to complete this data element;
(M) whether the patient's condition is
related to employment, auto accident, or other accident (CMS-1500 (08/05),
field 10) is required, but facility-based radiologists, pathologists, or
anesthesiologists must enter "N" if the answer is "No" or if the information is
not available;
(N) if the claim is
a duplicate claim, a "D" is required; if the claim is a corrected claim, a "C"
is required (CMS-1500 (08/05), field 10d);
(O) subscriber's policy number (CMS-1500
(08/05), field 11) is required;
(P)
HMO or insurance company name (CMS-1500 (08/05), field 11c) is
required;
(Q) disclosure of any
other health benefit plans (CMS-1500 (08/05), field 11d) is required;
(i) if answered "Yes," then:
(I) data elements specified in subparagraphs
(H) - (L) of this paragraph are required unless the physician or the provider
submits with the claim documented proof that the physician or the provider has
made a good faith but unsuccessful attempt to obtain from the enrollee or the
insured any of the information needed to complete the data elements in
subparagraphs (H) - (L) of this paragraph;
(II) the data element specified in
subparagraph (KK) of this paragraph is required when submitting claims to
secondary payor MCCs;
(ii) if answered "No," the data elements
specified in subparagraphs (H) - (L) of this paragraph are not required if the
physician or the provider has on file a document signed within the past 12
months by the patient or authorized person stating that there is no other
health care coverage. Although the submission of the signed document is not a
required data element, the physician or the provider must submit a copy of the
signed document to the MCC on request;
(R) patient's or authorized person's
signature or a notation that the signature is on file with the physician or the
provider (CMS-1500 (08/05), field 12) is required;
(S) subscriber's or authorized person's
signature or a notation that the signature is on file with the physician or the
provider (CMS-1500 (08/05), field 13) is required;
(T) date of injury (CMS-1500 (08/05), field
14) is required if due to an accident;
(U) when applicable, the physician or the
provider must enter the name of the referring primary care physician, specialty
physician, hospital, or other source (CMS-1500 (08/05), field 17). However, if
there is no referral, the physician or the provider must enter "Self-referral"
or "None";
(V) if there is a
referring physician noted in CMS-1500 (08/05), field 17, the physician or the
provider must enter the ID Number of the referring primary care physician,
specialty physician, or hospital (CMS-1500 (08/05), field 17a);
(W) if there is a referring physician noted
in CMS-1500 (08/05), field 17, the physician or the provider must enter the NPI
number of the referring primary care physician, specialty physician, or
hospital (CMS-1500 (08/05), field 17b) if the referring physician is eligible
for an NPI number;
(X) narrative
description of procedure (CMS-1500 (08/05), field 19) is required when a
physician or a provider uses an unlisted or unclassified procedure code or an
NDC code for drugs;
(Y) for
diagnosis codes or nature of illness or injury (CMS-1500 (08/05), field 21), up
to four diagnosis codes may be entered. At least one is required, but the
primary diagnosis must be entered first;
(Z) verification number (CMS-1500 (08/05),
field 23) is required if services have been verified under §
19.1719 of this title (relating to
Verification for Health Maintenance Organizations and Preferred Provider
Benefit Plans). If no verification has been provided, a prior authorization
number (CMS-1500 (08/05), field 23) is required when prior authorization is
required and granted;
(AA) date(s)
of service (CMS-1500 (08/05), field 24A) is required;
(BB) place of service code(s) (CMS-1500
(08/05), field 24B) is required;
(CC) procedure/modifier code (CMS-1500
(08/05), field 24D) is required;
(DD) diagnosis code by specific service
(CMS-1500 (08/05), field 24E) is required with the first code linked to the
applicable diagnosis code for that service in field 21;
(EE) charge for each listed service (CMS-1500
(08/05), field 24F) is required;
(FF) number of days or units (CMS-1500
(08/05), field 24G) is required;
(GG) the NPI number of the rendering
physician or provider (CMS-1500 (08/05), field 24J, unshaded portion) is
required if the rendering provider is not the billing provider listed in
CMS-1500 (08/05), field 33, and if the rendering physician or provider is
eligible for an NPI number;
(HH)
physician's or provider's federal tax ID number (CMS-1500 (08/05), field 25) is
required;
(II) whether assignment
was accepted (CMS-1500 (08/05), field 27) is required if assignment under
Medicare has been accepted;
(JJ)
total charge (CMS-1500 (08/05), field 28) is required;
(KK) amount paid (CMS-1500 (08/05), field 29)
is required if an amount has been paid to the physician or the provider
submitting the claim by the patient or subscriber, or on behalf of the patient
or subscriber or by a primary plan to comply with subparagraph (Q) of this
paragraph and as required by subsection (d) of this section;
(LL) signature of physician or provider or a
notation that the signature is on file with the MCC (CMS-1500 (08/05), field
31) is required;
(MM) name and
address of the facility where services were rendered, if other than home,
(CMS-1500 (08/05), field 32) is required;
(NN) the NPI number of the facility where
services were rendered, if other than home, (CMS-1500 (08/05), field 32a) is
required if the facility is eligible for an NPI;
(OO) physician's or provider's billing name,
address, and telephone number (CMS-1500 (08/05), field 33) is
required;
(PP) the NPI number of
the billing provider (CMS-1500 (08/05), field 33a) is required if the billing
provider is eligible for an NPI number; and
(QQ) provider number (CMS-1500 (08/05), field
33b) is required if the MCC required provider numbers and gave notice of the
requirement to physicians and providers before June 17, 2003.
(3) Required form and data
elements for institutional providers. The UB-04 claim form and the data
elements described in this paragraph are required for claims filed or refiled
by institutional providers. The UB-04 claim form must be completed under the
special instructions applicable to the data elements as described by this
paragraph for clean claims filed by institutional providers.
(A) provider's name, address, and telephone
number (UB-04, field 1) are required;
(B) patient control number (UB-04, field 3a)
is required;
(C) type of bill code
(UB-04, field 4) is required and must include a "7" in the fourth position if
the claim is a corrected claim;
(D)
provider's federal tax ID number (UB-04, field 5) is required;
(E) statement period (beginning and ending
date of claim period) (UB-04, field 6) is required;
(F) patient's name (UB-04, field 8a) is
required;
(G) patient's address
(UB-04, field 9a - 9e) is required;
(H) patient's date of birth (UB-04, field 10)
is required;
(I) patient's sex
(UB-04, field 11) is required;
(J)
date of admission (UB-04, field 12) is required for admissions, observation
stays, and emergency room care;
(K)
admission hour (UB-04, field 13) is required for admissions, observation stays,
and emergency room care;
(L) type
of admission (such as emergency, urgent, elective, newborn) (UB-04, field 14)
is required for admissions;
(M)
point of origin for admission or visit code (UB-04, field 15) is
required;
(N) discharge hour
(UB-04, field 16) is required for admissions, outpatient surgeries, or
observation stays;
(O) patient
discharge status code (UB-04, field 17) is required for admissions, observation
stays, and emergency room care;
(P)
condition codes (UB-04, fields 18 - 28) are required if the CMS UB-04 manual
contains a condition code appropriate to the patient's condition;
(Q) occurrence codes and dates (UB-04, fields
31 - 34) are required if the CMS UB-04 manual contains an occurrence code
appropriate to the patient's condition;
(R) occurrence span codes and from and
through dates (UB-04, fields 35 and 36) are required if the CMS UB-04 manual
contains an occurrence span code appropriate to the patient's
condition;
(S) value code and
amounts (UB-04, fields 39 - 41) are required for inpatient admissions, and may
be entered as value code "01" if no value codes are applicable to the inpatient
admission;
(T) revenue code (UB-04,
field 42) is required;
(U) revenue
description (UB-04, field 43) is required;
(V) Healthcare Common Procedure Coding System
(HCPCS) codes or rates (UB-04, field 44) are required if Medicare is a primary
or secondary payor;
(W) service
date (UB-04, field 45) is required if the claim is for outpatient
services;
(X) date bill submitted
(UB-04, field 45, line 23) is required;
(Y) units of service (UB-04, field 46) are
required;
(Z) total charge (UB-04,
field 47) is required;
(AA) MCC
name (UB-04, field 50) is required;
(BB) prior payments-payor (UB-04, field 54)
are required if payments have been made to the provider by a primary plan as
required by subsection (d) of this section;
(CC) the NPI number of the billing provider
(UB-04, field 56) is required if the billing provider is eligible for an NPI
number;
(DD) other provider number
(UB-04, field 57) is required if the HMO or preferred provider carrier, before
June 17, 2003, required provider numbers and gave notice of that requirement to
physicians and providers;
(EE)
subscriber's name (UB-04, field 58) is required if shown on the patient's ID
card;
(FF) patient's relationship
to subscriber (UB-04, field 59) is required;
(GG) patient's or subscriber's certificate
number, health claim number, and ID number (UB-04, field 60) are required if
shown on the patient's ID card;
(HH) insurance group number (UB-04, field 62)
is required if a group number is shown on the patient's ID card;
(II) verification number (UB-04, field 63) is
required if services have been verified under §
19.1719 of this title. If no
verification has been provided, treatment authorization codes (UB-04, field 63)
are required when authorization is required and granted;
(JJ) principal diagnosis code (UB-04, field
67) is required;
(KK) diagnosis
codes other than principal diagnosis code (UB-04, fields 67A - 67Q) are
required if there are diagnoses other than the principal diagnosis;
(LL) admitting diagnosis code (UB-04, field
69) is required;
(MM) principal
procedure code (UB-04, field 74) is required if the patient has undergone an
inpatient or outpatient surgical procedure;
(NN) other procedure codes (UB-04, fields 74
- 74e) are required as an extension of subparagraph (MM) of this paragraph if
additional surgical procedures were performed;
(OO) attending physician NPI number (UB-04,
field 76) is required if the attending physician is eligible for an NPI number;
and
(PP) attending physician ID
(UB-04, field 76, qualifier portion) is required.
(c) Required data elements for dental claims. The data elements described in this subsection are required as indicated and must be completed or provided under the special instructions applicable to the data elements for nonelectronic clean claims filed by dental providers with HMOs.
(1) patient's name is
required;
(2) patient's address is
required;
(3) patient's date of
birth is required;
(4) patient's
sex is required;
(5) patient's
relationship to subscriber is required;
(6) subscriber's name is required;
(7) subscriber's address is required, but the
provider may enter "Same" if the subscriber's address is the same as the
patient's address required by paragraph (2) of this subsection;
(8) subscriber's date of birth is required,
if shown on the patient's ID card;
(9) subscriber's sex is required;
(10) subscriber's identification number is
required, if shown on the patient's ID card;
(11) subscriber's plan or group number is
required, if shown on the patient's ID card;
(12) HMO's name is required;
(13) HMO's address is required;
(14) disclosure of any other plan providing
dental benefits is required and must include a "No" if the patient is not
covered by another plan providing dental benefits. If the patient does have
other coverage, the provider must indicate "Yes," and the elements in
paragraphs (15) - (20) of this subsection are required unless the provider
submits with the claim documented proof that the provider has made a good faith
but unsuccessful attempt to obtain from the enrollee any of the information
needed to complete the data elements;
(15) other insured's or enrollee's name is
required as called for by the response to and requirements of paragraph (14) of
this subsection;
(16) other
insured's or enrollee's date of birth is required as called for by the response
to and requirements of the element in paragraph (14) of this
subsection;
(17) other insured's or
enrollee's sex is required as called for by the response to and requirements of
the element in paragraph (14) of this subsection;
(18) other insured's or enrollee's
identification number is required as called for by the response to and
requirements of the element in paragraph (14) of this subsection;
(19) patient's relationship to other insured
or enrollee is required as called for by the response to and requirements of
the element in paragraph (14) of this subsection;
(20) name of other HMO or insurer is required
as called for by the response to and requirements of the element in paragraph
(14) of this subsection;
(21)
verification or preauthorization number is required, if a verification or
preauthorization number was issued by an HMO to the provider;
(22) date(s) of service(s) or procedure(s) is
required;
(23) area of oral cavity
is required, if applicable;
(24)
tooth system is required, if applicable;
(25) tooth number(s) or letter(s) are
required, if applicable;
(26) tooth
surface is required, if applicable;
(27) procedure code for each service is
required;
(28) description of
procedure for each service is required, if applicable;
(29) charge for each listed service is
required;
(30) total charge for the
claim is required;
(31) missing
teeth information is required, if a prosthesis constitutes part of the claim. A
provider that provides information for this element must include the tooth
number(s) or letter(s) of the missing teeth;
(32) notification of whether the services
were for orthodontic treatment is required. If the services were for
orthodontic treatment, the elements in paragraphs (33) and (34) of this
subsection are required;
(33) date
of orthodontic appliance placement is required, if applicable;
(34) months of orthodontic treatment
remaining is required, if applicable;
(35) notification of placement of prosthesis
is required, if applicable. If the services included placement of a prosthesis,
the element in paragraph (36) of this subsection is required;
(36) date of prior prosthesis placement is
required, if applicable;
(37) name
of billing provider is required;
(38) address of billing provider is
required;
(39) billing provider's
provider identification number is required, if applicable;
(40) billing provider's license number is
required;
(41) billing provider's
social security number or federal tax identification number is
required;
(42) billing provider's
telephone number is required; and
(43) treating provider's name and license
number are required if the treating provider is not the billing
provider.
(d) Coordination of benefits or nonduplication of benefits.
(1) If a claim is submitted for covered
services or benefits for which coordination of benefits is necessary under
§§
3.3501- 3.3511 of this title
(relating to Group Coordination of Benefits), a successor rule adopted by the
commissioner, or §
11.511(1) of
this title (relating to Optional Provisions), the amount paid as a covered
claim by the primary plan is a required element of a clean claim for purposes
of the secondary plan's claim processing and CMS-1500 (02/12), field 29, or
CMS-1500 (08/05), field 29, or UB-04, field 54, as applicable, must be
completed under subsection (b)(1)(GG), (2)(KK), and (3)(BB) of this
section.
(2) If a claim is
submitted for covered services or benefits for which nonduplication of benefits
under §3.3053 of this title (relating to Non-duplication of Benefits
Provision) is an issue, the amounts paid as a covered claim by all other valid
coverage is a required element of a clean claim, and CMS-1500 (02/12), field
29, or CMS-1500 (08/05), field 29, or UB-04, field 54, as applicable, must be
completed under subsection (b)(1)(GG), (2)(KK), and (3)(BB) of this
section.
(3) If a claim is
submitted for covered services or benefits and the policy contains a variable
deductible provision as set out in §
3.3074(a)(4) of
this title (relating to Minimum Standards for Major Medical Expense Coverage),
the amount paid as a covered claim by all other health insurance coverages,
except for amounts paid by individually underwritten and issued hospital
confinement indemnity, specified disease, or limited benefit plans of coverage,
is a required element of a clean claim, and CMS-1500 (02/12), field 29, or
CMS-1500 (08/05), field 29, or UB-04, field 54, as applicable, must be
completed under subsection (b)(1)(GG), (2)(KK), and (3)(BB) of this section.
Despite these requirements, an MCC may not require a physician or a provider to
investigate coordination of other health benefit plan coverage.
(e) Submission of electronic clean claim. A physician or a provider submits an electronic clean claim by using the applicable format that complies with all applicable federal laws related to electronic health care claims, including applicable implementation guides, companion guides, and trading partner agreements.
(f) Coordination of benefits on electronic clean claims. If a physician or a provider submits an electronic clean claim that requires coordination of benefits under §§ 3.3501- 3.3511 of this title, a successor rule adopted by the commissioner, or § 11.511(1) of this title, the MCC processing the claim as a secondary payor must rely on the primary payor information submitted on the claim by the physician or the provider. The primary payor may submit primary payor information electronically to the secondary payor using the ASC X12N 837 format and in compliance with federal laws related to electronic health care claims, including applicable implementation guides, companion guides, and trading partner agreements.
(g) Format of elements. The elements of a clean claim set out in subsections (b) - (f) of this section, as applicable, must be complete, legible, and accurate.
(h) Additional data elements or information. The submission of data elements or information on or with a claim form by a physician or a provider in addition to those required for a clean claim under this section does not render such claim deficient.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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