Manage Billing Provider Tax ID

  • Updated

This rule instructs the system to use the Facility or Practice Tax ID as the Billing Provider Tax ID. 

Workflow

Let's review how to create a claim rule to use the Facility or Practice Tax ID as the Billing Provider Tax ID!

    1. Navigate to Management Center > Claim Rules.

    2. Click Create Claim Form  Rule.
    3. Select the Practice.
    4. Next, give the rule a name.
    5. Update the Claim Type to Institutional or Professional.
    6. Select Conditions to create criteria a claim should meet before the rule will apply.
    7. Next, click on the Behaviors dropdown.
    8. Select Billing Provider - Tax ID.

    9. Next, click Add.
    10. Update the dropdown to one of the following:
      1. Facility Tax ID to use the facility's tax ID as the Billing Provider Tax ID. 
      2. Practice Tax ID to use the practice's tax ID as the Billing Provider Tax ID.
         
    11. To create multiple behaviors, repeat steps 7-10.
    12. Click Save to complete the process.
       

Box Number(s)

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. 

Was this article helpful?

0 out of 0 found this helpful

Comments

0 comments

Article is closed for comments.