NTE

Claim Note

Pos: 190	Max: 1
Detail - Optional
Loop: 2300	Elements: 2

Ref

Id

Element Name

Req

Type

Min/Max

Usage

NTE01

363

Note Reference Code
Description: Code identifying the functional area or purpose for which the note applies

O

ID

3/3

Required

Code

Name

ADD

Additional Information

CER

Certification Narrative

DCP

Goals, Rehabilitation Potential, or Discharge Plans

DGN

Diagnosis Description

PMT

Payment

TPO

Third Party Organization Notes

NTE02

352

Description
Description: A free-form description to clarify the related data elements and their content
Industry: Claim Note Text
NSF Reference: HA0-05.0

M

AN

1/80

Required

1.

The NTE segment permits free-form information/data which, under ANSI X12 standard implementations, is not machine processable. The use of the NTE segment should therefore be avoided, if at all possible, in an automated environment.

Notes:

1. Information in the NTE segment in Loop ID-2300 applies to the entire claim unless overridden by information in the NTE segment in Loop ID-2400. Information is considered to be overridden when the value in NTE01 in Loop ID-2400 is the same as the value in NTE01 in Loop ID-2300. The developers of this implementation guide discourage using narrative information within the 837. Trading partners who require narrative information with claims are encouraged to codify that information within the ASC X12 environment.
2. Required when: (1) State regulations mandate information not identified elsewhere within the claim set; or (2) in the opinion of the provider, the information is needed to substantiate the medical treatment and is not supported elsewhere within the claim data set.

Example:

NTE*ADD*SURGERY WAS UNUSUALLY LONG BECAUSE [FILL INREASON*~