Box Definition
Box 57 is where another provider ID is shown. This can sometimes be the payer-assigned provider ID.
In AveaOffice
To change the other provider ID on a claim form:
- Navigate to Practice Admin > Payers.
- Click the payer to add the Other Provider ID.
- Edit the baseline or create a scheduled change set.
- Edit the Payer-Assigned Provider ID.
- Click Save.
EDI Loop/Segment
Loop 2310C, Segment NM1
Qualifier 73
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