Add or Remove Facility - Location Number

This rule adds the 3-digit location code for the facility where a service was rendered. For information on how to manage the facility location number, click here. 

Note: This rule will add information to box 32b on the CMS-1500 and can conflict with this rule as well as this rule that adds the facility location number to the same box. To learn more about claim rule ordering, click here.

Workflow

Let's review how to create a claim form rule add or remove the facility location number!

• 1. Navigate to Management Center > Claim Rules.
     
     
  2. Click Create Claim 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 Facility - Location Number.
     
  9. Next, click Add.
     
  10. Update the dropdown to one of the following options:
      
      1. Omit to create the claim without the facility taxonomy. 
      2. Require and Write to Claim to always include the facility taxonomy. 
         
  11. To create multiple behaviors, repeat steps 7-10.
  12. Click Save to complete the process.
      

Box Number(s)

• UB-04: N/A - Information will be included in the EDI.
• CMS-1500: Box 32b—Other ID—An LU qualifier will automatically be added to this box with the Facility Location Number.

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. 
• See the Claim Rule: Setting Claim Rule Conditions article to read more about how to set claim rule conditions and order.
• To read more about how to set up a claim rule to be effective as of a specific date, see the Scheduled Change Sets article.