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TRI CARE Systems Manual 7950.2M, February 1, 2008, TRI CARE Encounter Data (TED)Chapter 2Section 6.2NonInstitutional Edit Requirements (ELN 100 199) ELEMENT NAME: TYPE OF SUBMISSION (2100) VALIDITY
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Non-institutional edit requirements ELN refers to a set of guidelines and criteria that need to be met when submitting non-institutional data for electronic healthcare transactions, particularly concerning claims and related activities.
Providers and organizations that engage in electronic healthcare transactions for non-institutional claims, such as clinics, outpatient services, and other non-hospital facilities, are required to file non-institutional edit requirements ELN.
To fill out the non-institutional edit requirements ELN, one must gather relevant patient and service information, ensure compliance with the specific format mandated by authorities, and then submit the data electronically according to the established protocols.
The purpose of the non-institutional edit requirements ELN is to standardize the submission of non-institutional claims, ensuring accuracy, reducing errors, and facilitating faster processing and reimbursement.
Information that must be reported includes patient identification data, service dates, descriptions of services provided, billing codes, provider information, and any applicable modifiers.
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