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  • Write You - Medical Billing - XA0 Record Fields 1 Through 8

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    cord count. This is the total number of D records, or carrier records being transmitted. In most cases, a patient has only primary insurance and only one record is sent. However, if the patient has supplementary insurance, those records are also included in this count.

    XA0 field 6, positions 27 - 28, is the EXX record count. This is the total number of E records, or facility records being transmitte

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    In our previous installments of medical billing and the electronic transmission of claims, we touched on the topic of trailer records and the importance of record hierarchy. In this installment we're going to take a detailed look at the claim level trailer record, which is the XA0 record.

    The XA0 record must be transmitted with each individual patient claim. If a patient has five items, or FA0 records, that have to be billed, then the XA0 record must give the totals for all those FA0 records, including totals for all other records attached to each individual patient. Let's go over each of the individual fields in the XA0 record.

    XA0 field 1, positions 1 - 3, is the record type. This field must be filled with XA0 or the claim will be denied. Also, this record must come after all C, D, E, F, G and H records for that particular patient.

    XA0 field 2, positions 4 - 5, are reserved and not supported. This is to hold consistent with the mapping for the CMNs which use these positions for the sequence number of the records.

    XA0 field 3, positions 6 - 22, is the patient ID. This must be the same patient ID that is transmitted in the CA0 record and all subsequent records that transmit patient information. If this number doesn't match, the claim will be denied.

    XA0 field 4, positions 23 - 24, is the CXX record count. This is the total number of C records that are being transmitted for that particular patient. In most claims, this is just the CA0 record, but if the CB0 and CB1 records are transmitted, then they have to be included in this count.

    XA0 field 5, positions 25 - 26, is the DXX record count. This is the total number of D records, or carrier records being transmitted. In most cases, a patient has only primary insurance and only one record is sent. However, if the patient has supplementary insurance, those records are also included in this count.

    XA0 field 6, positions 27 - 28, is the EXX record count. This is the total number of E records, or facility records being transmitted

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    , that have to be billed, then the XA0 record must give the totals for all those FA0 records, including totals for all other records attached to each individual patient. Let's go over each of the individual fields in the XA0 record.

    XA0 field 1, positions 1 - 3, is the record type. This field must be filled with XA0 or the claim will be denied. Also, this record must come after all C, D, E, F, G and H records for that particular patient.

    XA0 field 2, positions 4 - 5, are reserved and not supported. This is to hold consistent with the mapping for the CMNs which use these positions for the sequence number of the records.

    XA0 field 3, positions 6 - 22, is the patient ID. This must be the same patient ID that is transmitted in the CA0 record and all subsequent records that transmit patient information. If this number doesn't match, the claim will be denied.

    XA0 field 4, positions 23 - 24, is the CXX record count. This is the total number of C records that are being transmitted for that particular patient. In most claims, this is just the CA0 record, but if the CB0 and CB1 records are transmitted, then they have to be included in this count.

    XA0 field 5, positions 25 - 26, is the DXX record count. This is the total number of D records, or carrier records being transmitted. In most cases, a patient has only primary insurance and only one record is sent. However, if the patient has supplementary insurance, those records are also included in this count.

    XA0 field 6, positions 27 - 28, is the EXX record count. This is the total number of E records, or facility records being transmitte

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    records for that particular patient.

    XA0 field 2, positions 4 - 5, are reserved and not supported. This is to hold consistent with the mapping for the CMNs which use these positions for the sequence number of the records.

    XA0 field 3, positions 6 - 22, is the patient ID. This must be the same patient ID that is transmitted in the CA0 record and all subsequent records that transmit patient information. If this number doesn't match, the claim will be denied.

    XA0 field 4, positions 23 - 24, is the CXX record count. This is the total number of C records that are being transmitted for that particular patient. In most claims, this is just the CA0 record, but if the CB0 and CB1 records are transmitted, then they have to be included in this count.

    XA0 field 5, positions 25 - 26, is the DXX record count. This is the total number of D records, or carrier records being transmitted. In most cases, a patient has only primary insurance and only one record is sent. However, if the patient has supplementary insurance, those records are also included in this count.

    XA0 field 6, positions 27 - 28, is the EXX record count. This is the total number of E records, or facility records being transmitte

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    mation. If this number doesn't match, the claim will be denied.

    XA0 field 4, positions 23 - 24, is the CXX record count. This is the total number of C records that are being transmitted for that particular patient. In most claims, this is just the CA0 record, but if the CB0 and CB1 records are transmitted, then they have to be included in this count.

    XA0 field 5, positions 25 - 26, is the DXX record count. This is the total number of D records, or carrier records being transmitted. In most cases, a patient has only primary insurance and only one record is sent. However, if the patient has supplementary insurance, those records are also included in this count.

    XA0 field 6, positions 27 - 28, is the EXX record count. This is the total number of E records, or facility records being transmitte

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    cord count. This is the total number of D records, or carrier records being transmitted. In most cases, a patient has only primary insurance and only one record is sent. However, if the patient has supplementary insurance, those records are also included in this count.

    XA0 field 6, positions 27 - 28, is the EXX record count. This is the total number of E records, or facility records being transmitted. Because there can be a number of facilities involved with any particular claim, this number can be just about anything.

    XA0 field 7, positions 29 - 30, is the FXX record count. This is the total number of F records, or line item records being transmitted. This is usually the greatest record count in a claim file for a patient.

    XA0 field 8, positions 31 - 32, is the GXX record count. This is the total number of G records, or CMNs being transmitted. Because a patient can have a number of items and because each item can have a required CMN, this field can also be one of the higher total fields in the claim file.

    In our next installment of medical billing of claims via electronic transmission, we'll continue with our review of the XA0 record, picking up with field number 9.

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