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PostPosted: Thu Jan 05, 2017 9:00 am 
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Joined: Fri Mar 11, 2011 6:59 pm
Posts: 234
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

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Steven Zats
Medical Billing Professionals


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PostPosted: Thu Jan 05, 2017 10:44 am 
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Joined: Wed Apr 04, 2007 10:11 pm
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Location: Springfield, MO
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.

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Gavin Walker
Walker Tek Solutions, LLC
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PostPosted: Thu Jan 05, 2017 10:51 am 
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Joined: Fri Mar 11, 2011 6:59 pm
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Thanks! That did it!

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Steven Zats
Medical Billing Professionals


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PostPosted: Tue Jan 10, 2017 1:40 pm 
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Joined: Fri Mar 11, 2011 6:59 pm
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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.

Thanks

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Steven Zats
Medical Billing Professionals


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PostPosted: Tue Jan 10, 2017 2:01 pm 
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Joined: Wed Apr 04, 2007 10:11 pm
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Location: Springfield, MO
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.


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PostPosted: Tue Jan 10, 2017 2:03 pm 
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Thanks!

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Steven Zats
Medical Billing Professionals


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