Questions Submitted by the Public, by Date Posted to the Website. CHAMPUS in 837 Implementation Guide


In loop 2310D, in the REF segment, what is the reason that CHAMPUS is not listed as a possible Reference Identification Qualifier?


Assuming that the question refers to the ASC X12N 837 Health Care Claim: Professional transaction, the May 2000 Implementation Guide does provide a Reference Identification Qualifier code of "1H" for a CHAMPUS Identification Number in the REF01 segment in loop 2310D.

In this case a code value does exist. However, when a needed code value does not appear in the standard or implementation guide, people are encouraged to initiate the process described in the Frequently Asked Question, "How can the standards be changed?"