Submitting Non-Assigned Claims

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mbpros
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Submitting Non-Assigned Claims

Post by mbpros » Thu Jan 05, 2017 9:00 am

I have a provider who wants me to submit non-assigned claims without listing a Tax ID # on the claims and without listing the Group NPI on the claim. I know (or assume) I can set up the Practice Grid so paper claims could be printed without this info but I think electronic claims would reject if submitted without a Tax ID number and without a Billing Provider NPI. Am I correct?

And for Box 13 how do I have that field blank so nothing appears there (but not for all payers, only for certain payers)? Just uncheck the Assignment of Benefits box on the Policy 1 tab of the case?

Steve
Steven Zats
Medical Billing Professionals

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Gavin Walker
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Re: Submitting Non-Assigned Claims

Post by Gavin Walker » Thu Jan 05, 2017 10:44 am

Hi Steve, just uncheck Accept Assignment on the policy 1, 2, and 3 tabs. Setup payer overrides on the provider ids grid and select to file the claims as the individual provider. On the insurance carrier -> Options/Codes tab select Leave Blank for box 13. Keep in mind, the money will go to the patient when you do this, collect any money owed up front.
Gavin Walker
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mbpros
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Re: Submitting Non-Assigned Claims

Post by mbpros » Thu Jan 05, 2017 10:51 am

Thanks! That did it!
Steven Zats
Medical Billing Professionals

mbpros
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Re: Submitting Non-Assigned Claims

Post by mbpros » Tue Jan 10, 2017 1:40 pm

One more thing. How can I have Box 33 be blank? If the claims are non-assigned, the lawyer does not want the practice's billing info in Box 33.

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Steven Zats
Medical Billing Professionals

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Gavin Walker
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Re: Submitting Non-Assigned Claims

Post by Gavin Walker » Tue Jan 10, 2017 2:01 pm

The last I checked, box 33 is required to file a claim with an insurance carrier. If you need the field blank, you will need to customize your version of the CMS-1500 2/12 form and delete all of the items that print in box 33.

mbpros
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Re: Submitting Non-Assigned Claims

Post by mbpros » Tue Jan 10, 2017 2:03 pm

Thanks!
Steven Zats
Medical Billing Professionals

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