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Gateway Health Care Claim Payment/Advice 835 Companion Documents

IG PageLoopSegmentData ElementUsageValid OptionsGateway Comments
44------BPRBPR01 - Transaction Handling CodeR "I" Gateway Health Plan intends to send Remittance Information only
44------BPRBPR03 - Credit/Debit FlagR "C"Gateway Health Plan intends to always use the Credit flag
44------BPRBPR04 - Payment MethodR"CHK"Gateway Health Plan will continue to make payment by check
52------TRNTRN02 - Check/EFT Trace NumberR"0" or Unique check NumberGateway Health Plan will send a "0" for the check # when there is no payment
52------TRNTRN03 - Originating Company IdentifierR1251691945Gateway Health Plan's tacid is 25-1691945
1022100NM1NM108 - Patient Identifier Code R"MR"Gateway Health Plan will send the member's Medicaid Recipient Number in NM109
1112100NM1NM101- Sevice Provider Entity IdentifierR"82"Gateway will send the servicing provider name in NM103 and MN104
1112100NM1NM108 - Service Provider Identifier Code QualifierR"FI"Gateway Health Plan will send the servicing provider's Federal Tax Identification Number in NM109
1482100CASCAS02 - Service AdjustmentSClaim Adjustment Reason CodesSee the Gateway Health Plan Adjustment Code Crosswalk at www.gatewayhealthplan.com/
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Gateway to Physician Excellence
Last Updated: 1/1/2010