Saturday, 8 September 2012

EDI 5010 Documentation–837 Loop 2000A - HL–Billing Provider Hierarchical Level

HL – Billing Provider Hierarchical Level

        

Use the Billing Provider HL to identify the original entity who submitted the electronic claim/encounter to the destination payer

Hierarchical ID Number
A unique number assigned by the sender to identify a particular data segment in a hierarchical structure.

HL01 shall contain a unique alphanumeric number for each occurrence  of the HL segment in the transaction set. For example, HL01 could be used to indicate the number of occurrences of the HL segment, in which case the value of HL01 would be “1" for the initial HL segment and would be incremented by one in each subsequent HL segment within the transaction. HL01 must begin with “1" and be incremented by one each time an HL is used in the transaction. Only numeric values are allowed in HL01.

Example:
For the first Claim, Start the counter as 1. For the subsequent claims, increase the counter and print that value. The following picture shows the hierarchy for the EDI File that contains only one claim.  You can download the EDI File here.

 

 OneClaims_HL
 
The following Picture shows the hierarchy if the claim contains two claims. You can download the EDI File here.

TwoClaims_HL


The following Picture shows the hierarchy if the claim contains three claims. You can download the EDI File here.

Three_Claims_hL

The following Picture shows the hierarchy if the claim contains Four claims. You can download the EDI File here.

Four_Claims_HL

 

 
Loop Seg ID Segment Name Format Length Ref# Req Value
2000A HL Billing Hierarchical Level 2 R HL
Element Separator AN 1 *
HL01 Hierarchical ID Number AN 1/12 628 R 1
Element Separator AN 1 *
HL02 Hierarchical Parent ID Number 0 1/12 734 Not Used
Element Separator AN 1 *
HL03 Hierarchical Level Code ID 1/2 735 R 20
Segment Terminator ~
HL04 Hierarchical Child Code ID 1/1 736 R 1
Segment End ~
------------------------------------------------------------------------------------------------------------------
Sample:
HL*1**20*1~
------------------------------------------------------------------------------------------------------------------


        
Questions or feedback are always welcome. You can email me at vbsenthilinnet@gmail.com. 

3 comments:

  1. What software are you using to display the treeview of the EDI files?

    ReplyDelete
  2. Dear Senthil, please explain Segment Terminator '~' after HL03, which in sample it is "*" characther, is this typo?

    ReplyDelete