Bulk Bill Claim - Pathology
Bulk Bill Claim - Pathology
One of the below conditions must be satisfied for each medical event within a Pathology claim. If one of the below conditions is not met for each medical event within a Pathology claim, an error will be returned and no further processing will occur.
If referral is set and referral>Type Code is set to P perform validation checks and continue processing. If referral is set and referral>Type Code is not set to P, an error will be returned and processing will stop.
If Referral Override Code is set to N, perform validation checks and continue processing. If Referral Override Code is not set to N, an error will be returned and processing will stop.
If Self Deemed Code is set to SD for at least one service per medical event and no service has Self Deemed Code set to SS, perform validation checks and continue processing. If Self Deemed Code is not set to SD for at least one service per medical event, or service has Self Deemed Code set to SS, an error will be returned and processing will stop.