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22-577 Avoid Denials and Include Inpatient Discharge Hour on Final Claims

Health Net·CA·Provider News
Effective date
Jul 6, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Effective July 6, 2022, all inpatient hospital claims (837I) in Fresno, Kings and Madera counties must include the discharge hour (DHR) when specific patient status codes indicate discharge. Claims missing this information will be rejected and must be resubmitted with the discharge hour included.

Action Required

Action needed
Immediately: Hospital billing teams must update inpatient claim submission processes to include discharge hour (DHR) for all 837I encounters when CL103 patient status codes 01, 02, 03, 04, 05, 06, 07, 09, 20, 21, 40, 41, 42, 43, 50, 51, 61, 62, 63, 64, 65, 66, 69, 70, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95 are used and Type of Bill frequency code ends in 1, 4, or 7. Update billing software to require DHR field population. Resubmit any previously rejected claims with missing DHR information. Failure to include DHR will result in claim rejections.