This enables practices to add billing provider info to be used in box 33 of CMS 1500 form.
- Click Persons & Institutions | Insurance Companies
- Select an Insurance Company
- Click Provider Information
Key fields:
- Use Practice Info Checkbox: selected provider to bill under the practice info, uncheck if billing as individual.
- Entity Type: to bill as individual (Person, Type 1 NPI) or a group entity (Non-person, Type 2 NPI)
- Provider NPI - The National Provider Identifier (NPI) of the Provider
- Tax ID - The Tax ID of the Provider
- SSN - The Social Security Number of the Provider (not required if a Tax ID is listed for the Provider)
- CLIA Number – The Clinical Laboratory Improvement Act number of the provider. Issued to any person or facility that performs laboratory tests on human specimens for the purpose of diagnosis and/or treatment. Not required in most cases
4. Click Save