Are DN513 (Admission Date) and DN514 (Discharge Date) mandatory for Hospital Invoices?
No, only if the patient is admitted and discharged. See page 76 of the California EDI Implementation Guide for medical Bill Payment Records, December 2005. Q. We have received a medical bill from a non-licensed provider. When we “build” a provider into our system, to create an Explanation of Review, a license number is now required. What should we input into the license field to bypass this? A: In cases where the Rendering Provider State License Number is unavailable or prohibitively costly to document the California DWC\WCIS suggests following the IAIABC guidelines which indicate default values should be sent to the jurisdiction as a string of 9’s. The suggested format is to utilize the format provided by the California Department of Consumer Affairs in the master file of all licensed medical providers in the State of California which is 8 digits (fields 9-16 license number) to be sent in REF02 127 in the 2310B Loop of the California adopted IAIABC 837 transmission.
