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Provider Carrier Overrides

Provider Carrier Overrides

 

See Also:

Rendering Providers

Insurance Carriers

 

Sometimes carriers have specific requirements for the IDs printed on the CMS-1500 that cannot be easily handled with the provider settings alone. This screen lets you override the corresponding IDs in the provider record for the selected carrier. The override fields will be enabled when the associated override check box is checked.

 

 

Override rendering provider NPI

When checked, you can enter an NPI to override the provider's box 24j NPI.

 

NPI [Box 24j]

Enter the NPI to override the provider's NPI. To override with blank, check the override checkbox and leave the NPI empty.

 

Override rendering provider secondary ID

Check this box to override the rendering provider's secondary ID qualifier and ID.

 

ID Qualifier [Box 24i]

Enter a qualifier code. The code identifies the type of ID being entered. You can right-click or press F2 to lookup a code from the list of valid codes.

 

ID [Box 24j]

Enter the ID associated with the qualifier code.

 

Override billing provider NPI

Check to override the billing provider's box 33a NPI.

 

NPI [Box 33a]

Enter the NPI to override the provider's NPI. To override with blank, check the override checkbox and leave the NPI empty.

 

Override billing provider secondary ID

Check this box to override the billing provider's secondary ID qualifier and ID in box 33b.

 

ID Qualifier [Box 33b]

Enter a qualifier code. The code identifies the type of ID being entered. You can right-click or press F2 to lookup a code from the list of valid codes.

 

ID [Box 33b]

Enter the ID associated with the qualifier code.

 

Override provider tax ID

Check the box to override the tax ID in box 25.

 

Tax ID [Box 25]

Some carriers require additional information in box 25 beyond just the tax ID. In this box you can enter up to 15 characters. Check either the SSN or EIN box or leave both boxes blank.

 

 

See Also:

Rendering Providers

Insurance Carriers