I received notice from the office biller/coder that our claims were being rejected because the 2400 SV105 Facility Code Value is showing as a value of “1” in the X12 upload file instead of “11”
The cited segment is correct, (SV1 * HC:99205 * 602.67 * UN * 1***1), because it corresponds to Box 24G for Days or Units. It is Loop 2400, SV104(UN). Changing the ones after UN will cause the file to be rejected.
Box 24B, Place of Service, should be handled by Loop 2300, CLM05-1.
Had a look at an 837P file which was accepted by the clearinghouse. Found CLM01 (patient’s account number), but not CLM05-01 in the file.
Found X12 837p Reference for users who have difficulty deciphering the .php file.
It was edited by Brady 3 months after the 5010 format had been mandated in 2012. The Wiki article may have some holdovers from 4010. The author had written the article for the older format.