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Bulletin ID: No. 31 - Roll Up of Claims

Thursday, November 1, 2007

Current Roll-Up Procedure:

If all of the following conditions exist claims are rolled-up:

  • Same provider
  • Same consumer
  • Same date of service
  • Same service code
  • Same modifier
  • Same place of service

Change In Procedure Effective November 1, 2007:

If the place of service is different and all of the other above conditions exist, continue to roll-up the claims; however, for place of service use code 99.

Questions?Contact Melvin Barry on (202) 671-2987 or [email protected].