Bulk Bill Claim - Specialist
Bulk Bill Claim - Specialist
This is including Allied Health & Diagnostic services claim
One of the below conditions must be satisfied for each medical event within a Specialist claim. If one of the below conditions is not met for each medical event within a Specialist claim, an error will be returned and no further processing will occur.
If referral is set and referral>Type Code is set to S or ‘D’ perform validation checks and continue processing. If referral is set and referral>Type Code is not set to S or D, an error will be returned and processing will stop.
If Referral Override Code is set to either H, L, E or N, perform validation checks and continue processing. If Referral Override Code is not set to either H, L, E or N, an error will be returned and processing will stop.
If Self Deemed Code is set to either SD or SS for at least one service per medical event, perform validation checks and continue processing. If Self Deemed Code is not set to either SD or SS for at least one service per medical event, an error will be returned and processing will stop.