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Submitting newborn encounters

March 2024

A training for service providers on best practices for claim and encounter newborn submissions (with or without an ID) and for reporting multiple newborn births.

Author

IHA in partnership with the Health Industry Collaboration Effort (HICE) Encounters Standardization Team

Why use it

The Best Practices for Submitting Newborn Encounters presentation is intended to provide clear and consistent guidance for how to submit newborn encounters. This presentation is designed to be a training resource for healthcare organizations covering the various scenarios that may arise in submitting newborn encounters.

Who it’s for

The Best Practices for Submitting Newborn Encounters presentation is intended for all healthcare organizations, such as health plans, provider organizations, and delegates that work with capitated claims or encounters for newborn and multiple birth submissions.

Key take-aways

This presentation summarizes the following topics related to newborn encounters:

  • Newborn encounter submission guidelines for Medi-Cal and other lines of business
  • 837 sample submissions and instructions on how to report newborns with and without a client index number (CIN)
  • 837 sample submissions on how to report multiple births and the proper use of diagnosis codes and modifiers

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IHA’s Resource Hub is made possible through a grant from Health Net, LLC’s Encounter Data Improvement Program.

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