Section title: Requests for Interpretation
RFI #
1182
5010 837I 2320/AMT02 allow 0?
Description

5010 introduces 2320/AMT02 for Remaining Patient Liability, which is Situationally Required when adjudicated and claim level info provided, and 2430/AMT Remaining Patient Liability, also Situationally Required, when adjudicated and service/line level info is provided.

The format for these is that AMT/02 (Monetary Amount) is REQUIRED when the segment is submitted and is in monetary format. However the X12 specification does not specifically indicate for these fields whether 0 (zero) is an acceptable value, or not, the way that it does with other segments, for example 2320/AMT1 for Paid Amount.

Is zero an acceptable value for this field?

RFI Response

Yes. A zero dollar amount is acceptable in the Remaining Patient Liability segment when the provider does not expect additional payment for this line (2430 AMT) or claim (2320 AMT).

DOCUMENT ID
005010X223