Set Secondary Provider ID

This rule can used to apply a secondary provider ID to professional claims. 

Workflow

Let's review how to create a claim rule to include a secondary id for a rendering provider. 

• 1. Navigate to Management Center > Claim Rules.
     
     
  2. Click Create Claim Line Item Rule.
     
  3. Select the Practice.
     
  4. Next, give the rule a name.
  5. Update the Claim Type to  Professional.
     
  6. Select Conditions to create criteria a claim should meet before the rule will apply.
     
  7. Next, under Behaviors, click Set Secondary Provider ID to:
  8. Update the dropdown to select the secondary id you want written to the claim.
     
  9. Click Save to complete the process.
      

Box Number(s)

• UB-04: N/A
• CMS-1500: 24i - ID Qualifier

Helpful Hints

• If one of your conditions is payer-based, select Current Sequence Behavioral instead of the Primary Behavioral Payer. This will ensure the rule applies to secondary and tertiary claims when needed. 
• To read more about how to set claim rule conditions and order, see the Claim Rule: Setting Claim Rule Conditions article.
• To read more about how to set up a claim rule to be effective as of a certain date, see the Scheduled Change Sets article.