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Billing Provider Secondary IDs


System updates have been made to enable agencies to efficiently bill providers with secondary identifiers (IDs).


To bill a provider with a secondary ID and its ID type:

  • Navigate to the View tab, hover over Lists, and select Payment Sources from the drop-down menu.
  • Click Edit on the right side of the screen to edit a payment source.
  • On the Information tab of the Edit Payment Source screen, check the box next to This payment source requires a Secondary Provider ID.


View tab ➜ Lists ➜ Payment Sources ➜ Edit ➜ Information tab ➜ This payment source requires a Secondary Provider ID


Select an option from the Secondary Provider ID drop-down menu. When Other is selected as the Secondary Provider ID, type the secondary provider ID in the Specify Secondary Provider ID field and select the appropriate Reference ID Qualifier.

To bill a provider with a secondary ID and its ID type at Claim or Service level:

  • Navigate to the UB04 or HCFA tab on the Edit Payment Source screen.
  • Under Additional Providers, click Add Provider.
  • Complete the appropriate fields, including the new Other ID Qualifier field. When Other is selected as the Value Source, additional fields display free text boxes, including the new Other ID field, where the user can enter applicable information.

When Physician (Primary or Referral) or Clinician is selected as Value Source and Other ID Qualifier is specified, the Other ID is pulled from the following fields to populate the appropriate locations in the ANSI 837 file.


Physician:


View tab ➜ Lists ➜ Physicians ➜ Edit


In the Physician Information section, there is now an additional field for Other Provider ID.

Clinician:


Employees tab ➜ Employee Center ➜ Edit


In the Other Information section of the Information tab, there is now an additional field for Clinician Other Provider ID.


Updated on 12/10/2019