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Frequently Asked Questions

 
Q:
Net Available Monthly Income (NAMI) - What are the reporting requirements for LTC?
A:

For Long Term Care Skilled Nursing Facility claims on the 837 Institutional, NAMI is expected in Loop-ID 2300 in the Patient Paid Amount AMT segment (Loop-ID 2300, AMT02 where AMT01=F5). The eMedNY system also receives NAMI information from local welfare offices. When NAMI is reported in a claim the system compares this value with the NAMI amount in the system. If the amounts differ the larger amount is used in claims processing.

 

Notes and Comments

Created:

May 26, 2004           

Last Modified:

August 25, 2008    
 
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