What is Box 33b on a HCFA?
What is Box 33b on a HCFA?
Box 33b is used to indicate a payer-assigned identifier of the Billing Provider. Some payers require the provider’s taxonomy code be listed in Box 33b.
What goes in box 19 on HCFA?
Box 19 is used to identify additional information about the patient’s condition or the claim.
What is Box 24C on HCFA 1500?
Box 24c. EMG indicator (also called emergency indicator) is a carryover from the older CMS-1500 form and is unlikely to be required on current claims. If needed, however, you can add the ‘EMG’ field via the service line Column Chooser. Acceptable values are Y or N.
What goes in box 24j on HCFA 1500?
What is it? Box 24j Shaded is used to identify the non-NPI if indicated by a qualifier in 24i. Box 24j displays the NPI of the Rendering Provider.
What is Box 32b in CMS-1500?
Box 32b is used to indicate the non-NPI identification number of the service facility as assigned by the payer for the facility. Enter the 2-digit qualifier followed by the ID number.
What is box 17a on 1500 claim?
Box 17a is the non-NPI ID of the referring provider and is a unique identifier or a taxonomy code. The qualifier indicating what the number represents is reported in the qualifier field to the immediate right of 17a. 0B – State License Number.
What is Box 19 for on cms1500?
When submitting claims for a newborn infant using the mother’s ID number, enter the infant’s name in Box 2. Enter “Newborn using Mother’s ID”/ “(twin a) or (twin b)” in the Reserved for Local Use field (Box 19).
What loop and segment is Box 19?
CMS-1500 Claim Form Crosswalk to EMC Loops and Segments
| CMS-1500 Form Item | CMS-1500 | EMC ANSI 837 Loop |
|---|---|---|
| 19 | Reserved for Local Use (Commentary and Narrative) | 2300 |
| 20 | Outside Lab Charges | 2400 |
| 21 | Diagnosis or Nature of Illness or Injury | 2300 |
| 21 | ICD Indicator BK – ICD-9 ABK – | 2300 |
What is Box 24c for?
Box 24c identifies if the service was an emergency.
What loop and segment is box 24J?
CMS-1500 Claim Form Crosswalk to EMC Loops and Segments
| CMS-1500 Form Item | CMS-1500 | EMC ANSI 837 Loop |
|---|---|---|
| 24J | Rendering Provider ID # (NPI) | 2420A |
| 25 | Federal Tax ID or | 2010 AA |
| 26 | Patient’s Account Number | 2300 |
| 27 | Accept Assignment | 2300 |
What goes in box 32a on CMS-1500?
National Provider Identifier
Box 32a: If required by Medicare claims processing policy, enter the National Provider Identifier (NPI) of the service facility.
