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Medicare Billing: CMS-1450 & 837I

Loop 2300 CLM, 2320 OI/FL 52 A-C

R icon; required
Table 22: Loop 2300 CLM, 2320 OI/FL 52 A-C Fields
Release of Information for Primary, Secondary, and TertiarySource
Enter Y to show whether the provider has a signed statement from the patient on file letting the provider release data to other organizations to adjudicate the claim.Patient or provider records
  • A Y code means the provider has a signed statement on file letting them release data to other organizations to adjudicate the claim. The claim requires a Y code when state or federal laws don’t supersede the HIPAA Privacy Rule, which requires you to collect a signature.

  • An I code means the provider doesn't have a signed statement on file, but is still permitted to release medical information for certain conditions or diagnoses regulated by federal law. The claim requires an I code when state or federal laws don't supersede the HIPAA Privacy Rule, which requires you to collect a signature.

The back of the CMS-1450 contains a certification that all necessary release statements are on file.