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].