Providers of Clinic services can now bill multiple lines for multiple dates of service on a single claim. They will enter a date range on the claim level and then the individual dates of service on each line. All dates of service on the line level must be for the same rate code. If the rate code changes then a new claim must be started. All the dates on the lines should fall within the date range entered on the claim level. A Service Authorization (if one is required) must be on file for each date of service entered on each line. The paper remittance will return only the beginning date of service from the date range entered on the claim level. The 835 electronic remittances will return the entire date range from the claim level entry. The claim will be paid as a lump sum payment for all the lines under a single TCN.

The pricing will be: every time the system reads a different date of service on the line level it will look at the units, if the units entry is one or blank (we will default a 1), we will count it, if the units entry is greater than one we will perform the rate type maximum editing for that line. If any line fails then the whole document will be denied. The system will add all the units from all the lines and multiple the rate amounts against the total units and pay one lump sum for the document. The date of service on the paper remit will be the beginning date of service from the date range from the claim entry, if the remit is electronic they will receive the entire date range entered on the claim level. If the provider must adjust a claim, they must include all the lines from the original claim (the same as the professional line level/document adjustments.). If they leave off a line then that line is essentially voided.