How AI is applied across API Evangelist and APIs.io. Read my AI disclosure →
API Evangelist API Evangelist
Discovery
Learnings
Guidance
Toolbox
Alignment
API Evangelist LLC

RFI #2820: UB-04 and Loop 2300, HI - Patient Reason for Visit - If Desired (837I)

calendar_today June 12, 2026 person X12 Editor domain edi-214

RFI # 2820 UB-04 and Loop 2300, HI - Patient Reason for Visit - If Desired (837I) Description The original X12 standards document indicates that the REASON FOR VISIT is “Required when claim involves outpatient visits. If not required by this implementation guide, do not send.” Then, in RFI #1256 , you clarified that the field is only required on “certain outpatient claims as directed by the NUBC billing manual.” The description is: “Required only on 013x, 078x and 085x claims when: a) Priority (Type) of Admission or Visit codes 1, 2 or 5 are reported (FL 14). AND b) Revenue Codes 045x, 0516, 0

open_in_new Read original post