Payer Id Code List, NPI Lookup, NPI Validation HCFA-1500 Box 9 - Other Insured's Name December 22, 2024 On the HCFA-1500 form, box 9 is designated for the other insured's name (Last, First, Middle). This refers to the subscriber of the patient's secondary insurance, for whom service...
group, nillable, sort, update description indicates whether the practitioner is accepting new patients based on the status of their patient panel. payernetworkid type reference properties create, filter, group, nillable, sort, update description payer networ...
CMS provides an allowed charge lookup system on its website. Medicare’s CLFS is briefly described below in conjunction with Pap test technical services. HCPCS codesare a separate set of codes used to describe drugs, supplies, and certain other services not included in CPT. Like CPT codes, HC...
A transaction in the healthcare setting is a medical claim submitted to the payer for reimbursement to the provider for services rendered. A medical claim typically includes data such as date of service, performing provider (as well as billing and referring providers), amount paid, patient ID, ...
gender, date of birth and numeric identifiers (such as driver's license number, payer member number, last 4 of SSN etc.). It does not preclude the possibility that new identifiers such as an opt in patient healthcare ID, a DIRECT address, or other identifier could be included in the fut...
external services (agreed with the payer) arising from an internal catalogue (tariff-neutral services) Configuration of the Service Collector Each medical case, i.e. inpatient or outpatient, in the system is labeled with a billing category which is, like the service collector modules, specified in...
and not viewed. name type string properties create, filter, group, idlookup, sort, update description required. name of the provider. ownerid type reference properties create, defaulted on create, filter, group, sort, update description required. the id of the user who owns this...