docs(sp33): update reference docs to CO_TXIX (per HCPF 837P Companion Guide)
docs/reference/837p.md line 48: the CO Medicaid trading-partner line
was still saying 'SKCO0 (sender) <-> COHCPF (receiver)'. The HCPF
837P Companion Guide (June 2025 - Version 2.5) requires
NM1*PR NM109 = CO_TXIX; SKCO0 causes Gainwell to reject the SET
('2010BB NM109 must equal CO_TXIX or CO_BHA').
docs/reference/co-medicaid.md line 118 + the Trading Partner table at
the top: same fix, with a pointer to the SP33 spec for the
root-cause story.
No code changes. Pure doc fix to match what the source now emits
(PayerConfig.co_medicaid().payer_id = 'CO_TXIX').
This commit is contained in:
@@ -45,7 +45,7 @@ full walker.
|
||||
|
||||
## CO Medicaid specifics
|
||||
|
||||
- Trading partner: `SKCO0` (sender) ↔ `COHCPF` (receiver) on `NM1*PR` / `NM1*40`
|
||||
- Trading partners: `COMEDASSISTPROG` (NM1*40 NM109, 1000B receiver) and `CO_TXIX` (NM1*PR NM109, 2010BB payer). See `docs/goodclaim.x12` for a canonical example and the HCPF 837P Companion Guide for the full segment table.
|
||||
- `CLM05` is a composite of three components: place of service, facility code
|
||||
qualifier, and frequency code (in that order)
|
||||
- `CLM05-1` = place of service (any valid CMS POS code)
|
||||
|
||||
Reference in New Issue
Block a user