Box 57 - Other Provider ID

Box Definition

Box 57 is where another provider ID is shown. This can sometimes be the payer-assigned provider ID.

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In AveaOffice

To change the other provider ID on a claim form:

  1. Navigate to Practice Admin > Payers. mceclip1.png
  2. Click the payer to add the Other Provider ID.
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  3. Edit the baseline or create a scheduled change set. mceclip3.png
  4. Edit the Payer-Assigned Provider ID.
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  5. Click Save.

 

 

EDI Loop/Segment

Loop 2310C, Segment NM1

Qualifier 73

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