Where do I put Blanket Authorization Number (BAN) on a 837P or 837I transaction claim?
CBH issues two types of authorizations; blanket authorizations and authorizations that the provider must ask CBH to approve (prior authorization). The 837 has two levels that authorizations can be sent in at; the claim level and the claim line level. Authorizations that apply to the all (or most) of the services in a claim would be sent at the claim level in the 2300 REF segment with REF01 = G1. Claim level authorizations could be either blanket authorization or prior authorizations. Authorizations that only apply to a specific claim line would be sent at the service line level in the 2400 REF segment with REF01 = G1. Claim line authorizations could be either blanket authorization or prior authorizations. In the event that the provider needs to send both claim and claim line level authorizations, the provider would send the authorization that applies to most of the services in the claim in the 2300 REF segment with REF01 = G1 with the actual authorization number in REF02, and the provi
Related Questions
- Why can we use the existing modifier fields to enter the Blanket Authorization Number (BAN) when designating non-authorized services?
- Where do I put Blanket Authorization Number (BAN) on a 837P or 837I transaction claim?
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