Approved - IRR MED867 Allow decimals to match X12 data requirements
Business Requirement / Issue: Adding new Edit 119 (All digits must be 0 - 9 or decimal) to additionally allow decimals to be submitted for the following data elements:
0571 DRUGS/SUPPLIES NUMBER OF DAYS
0501 TOTAL CHARGE PER BILL
0516 TOTAL AMOUNT PAID PER BILL
0545 BILL ADJUSTMENT AMOUNT
0546 BILL ADJUSTMENT UNITS
0552 TOTAL CHARGE PER LINE
0554 DAY(S) /UNIT(S) BILLED
0570 DRUGS/SUPPLIES QUANTITY DISPENSED
0572 DRUGS/SUPPLIES BILLED AMOUNT
0574 TOTAL AMOUNT PAID PER LINE
0579 DRUGS/SUPPLIES DISPENSING FEE
0733 SERVICE ADJUSTMENT AMOUNT
0734 SERVICE ADJUSTMENT UNITS
0760 PRIOR ACTUAL AMOUNT PAID
0761 LINE ITEM PRIOR ACTUAL AMOUNT PAID
Note: The X12 standard allows decimals to be submitted in all of the above fields, so our edits should also match the allowed data. Currently, the edit usually used for these data elements (Edit 028 - All digits must be 0 - 9) would not allow for decimals. Since the IAIABC EDI Medical standard follows the X12 standard, this new edit allowing decimals is necessary.
Final Proposed Resolution: Add Edit 119 (All digits must be 0 - 9 or decimal) to the standard.
This clerical IRR is now considered approved following Final 14-Day review without objection.