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When doing medical billing, you'd think with all the payer records being sent, second only to service line records, there wouldn't be as many problems with denied claims because of missing information. Such is not the case. In this article, we're going to review the third and last payer record, which is the DA2 record.DA2 field 1, positions 1 - 3, is the record type which needs to be filled in with DA2 or the claim will not be paid.DA2 field 2, positions 4 - 5, is the sequence number. Because there can be up to three DA2 records, each one has to have a sequence number for primary, secondary and tertiary, designated DA2-01, DA2-02 and DA2-03.DA2 field 3, positions 6 - 22, is the patient ID. This number must match the patient ID numbers transmitted in the CA0 and all the other D records in this claims file for that patient.DA2 fields 4, 5, 6, 7 and 8, positions 23 - 113, is the patient's address, which includes two fields for street address, city, state and zip code. All fields are required except for address field two.DA2 field 9, positions 114 - 123, is the patient's telephone number. This number must be entered without any spaces, dashes or any other special characters.DA2 field 10, positions 124 - 131, is the insured's retirement date. This is the date when the insured retired from work. This needs to be filled in because benefits sometimes change when a person retires from a company. In many cases, benefits are decreased. If of course the insured is still working, this is left blank.DA2 field 11, positions 132 - 139, is the retirement date of the insured's spouse. Same explanation as above if the spouse is responsible for the insurance and not the patient.DA2 field 12, positions 140 - 172, is the insured's employer name. If the insured is still working, then the name of the employer needs to go here.DA2 fields 13 - 17 positions 173 - 263, is the insured's employer address. A special note should be made about these fields because many people, in today's marketplace, work for employers where their actual work address is not the same as the address of the employer's home office. If you're wondering why this matters, it's very simple. In some cases, it is the home office address that the insurance information is filed under. If the patient gives the address of the location where they work, should it be different from the home office, the claim will be denied because the payer won't find the insured information under the address given.DA2 field 18, positions 264 - 275, is the insured employer ID. This is not the ID of the employee but the ID of the employer, which is the ID associated with the insurance they are subscribed to. This is often another area of confusion.DA2 field 19, positions 276 - 320, is filler national and must be left blank.This concludes the last of the three payer records for medical billing of claims electronically using NSF 3.01 specifications.
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Michael Russell Your Independent guide to Medical Billing
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