Tips for entering physician and facility information for ANSI 837 claims
To easily navigate this article, use the links provided below. At the end of each section, click "Back to Top" to return to this menu.
Physician/Facility Library Data Entry
Physician/Facility Library Data Entry
Billing Provider
P.O Box Address - not allowed
Required: 9 Digit Zip Code (no dashes)
Situational: Additional ID Numbers allowed
0B - State License Number
1G - UPIN Number (Payer-assigned Number)
Pay-To Provider
Pay-To Provider may use a P.O. Box address. It is entered as part of the Billing Provider entry in the Physician/Facility Library. Click Pay to Address to begin entering data.
Facility
Required: 9 Digit Zip Code (no dashes)
If Place of Service is 11, do not enter Facility information unless different than Billing provider information or unless required by payer. For other POS codes, contact your insurance payer for guidelines.
Referring Provider
No Taxonomy codes allowed
Situational: Additional ID Numbers allowed
0B - State License Number
1G - UPIN Number
G2 - Commercial Number
Rendering Provider
Situational: Additional ID Numbers allowed
0B - State License Number
1G - UPIN Number
G2 - Commercial Number
LU - Location Number
Ordering Provider
Situational: Additional ID Numbers allowed
0B - State License Number
1G - UPIN Number
G2 - Commercial Number
Supervising Provider
Situational: Additional ID Numbers allowed
0B - State License Number
1G - UPIN Number
G2 - Commercial Number
LU - Location Number
Patient Tab
Signature Source field
Leave blank or select 'P' (usually left blank)
Claim Tab
Ambulance
Pick-up and drop-off info if POS = 41 or 42
Ambulance transport reason (IRTX) no longer used
New loops: 2310E is pick-up info
2310F is drop-off info
Chiropractic
Nature of Condition and Acute Manifestation Date - only fields used
Secondary Claims
Allowed/Approved Amounts are no longer used
Misc Changes
Supervising provider loop change from 2310E to 2310D
CMN - Loop 2400 CR5-01 thru CR5-18 DELETED