When a claim includes multiple rendering providers, are there any rules or guidelines that dictate which provider to report at the claim level? Put another way: does it matter which provider is reported at the claim level and which are reported at the line level?
837P with two Anesthesia claim lines. Claim line 1 is associated with a CRNA Provider and claim line 2 is associated with a MD Provider. The CRNA is being reported as the claim level rendering provider in 2310B with the MD being reported as the line level rendering provider on claim line 2. The payer is indicating that MD must be reported as the claim level rendering provider in order to avoid getting paid at a reduced rate.
The 837 TR3 does not speak to how a claim will be paid, but the claim described is not wrong syntactically. Claim line 1 was performed by the CRNA, and Claim line 2 was performed by the MD.
It is not within X12's purview to provide billing directions or comment on payer payment policies or procedures.