If you are seeing patients outside of your normal office location, the service location address must be disclosed in box 32 of the HCFA 1500 form, along with the POS code that coordinates with the service location. This article will explai...
Each payer or insurance company has its payer ID number to accept electronic claims. It is the electronic address , so the clearinghouse knows which payer/insurance company to send the claim to. Some national payers, such as Aetna (60054), C...
DrChrono will pull data from a patient’s chart to populate the UB04/HCFA 1450 form. The following is a guide identifying which fields the data will be pulled from.
Box 1 - Billing Provider Name, Street Address, City, State, Zip, T...
Value codes are required on an institutional claim to identify data elements such as:
Medicare lifetime reserve days, no-fault payments, and the number of days not covered by the primary payer.
They can be easily added to the U...
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 ...
A point of origin code discloses to the payer the source or method of the patient's referral for admission. The point of origin code is similar to a "place of service" code on a professional claim/HCFA-1500 form. To add it to an institutiona...
You can receive a rejection "Service line COB "when you submit a claim to secondary insurance when the primary insurance payment details posted are not correct or incomplete. In the screenshot here, the billed amount is $9...