In early 2022, the Centers for Medicare & Medicaid Services (CMS) introduced a new place of service (POS) code for telehealth services to help clarify specifically where services were rendered. https://www.cms.gov/Medicare/...
When health insurers process medical claims, they will use what is called ANSI ( American National Standards Institute ) group codes, along with a reason code, to help explain how they adjudicated/processed the claim.
The four gro...
On an institutional claim, a 4-digit code in box 4 identifies the type of facility and type of care, and the frequency code is generated based on parameters set under the office settings and attached to a patient's claim. Facility Level ...
DrChrono offers an efficient way to do all of your medical billing. A necessary step in submitting your electronic claims is having the Payer ID. A Payer ID is a unique ID number that is assigned to an insurance company to transmit your claims el...
Diagnostic coding (ICD-10) translates written descriptions of diseases, illnesses, and injuries into codes from a particular classification. In medical classification, diagnosis codes are used as part of the clinical coding process alongside int...
If you have a patient with multiple insurances, one of those payers could deny your claim asking for the claim filing indicator . This indicator will identify the payer as the primary or secondary insurance. If the claim is rejected by the p...
DrChrono pulls data from a patient’s chart and your office settings to populate the CMS-1500 health insurance claim form. This article identifies which fields the data is pulled from.
Create Date:03/08/2024 Payer Name
Payer Id
Convert To Payer Id
State
EDI 837P
EDI 837I
EDI 837D
ERA 835
837 Enrollment
835 Enrollment
1199 National Benefit Fund
13162
ALL
X
X
X
Y ...
Sometimes a payer will require a separate identifier on the claim along with the billing/rendering NPI. DrChrono makes it easy to add this information, by payer, so that it will be on each claim, helping to ensure that your claim is accepted for pr...