Bulletin ID: No. 31 - Roll Up of Claims
Current Roll-Up Procedure:
If all of the following conditions exist claims are rolled-up:
- Same provider
- Same consumer
- Same date of service
- Same service code
- Same modifier
- Same place of service
Change In Procedure Effective November 1, 2007:
If the place of service is different and all of the other above conditions exist, continue to roll-up the claims; however, for place of service use code 99.
Questions?Contact Melvin Barry on (202) 671-2987 or Melvin.Barry@dc.gov.