- - Enter the name of your practice or billing office. (prints to BOX 33 on CMS-1500)
- - Enter the primary and secondary address of your billing office
- -Enter the city/state/zipcode of your billing address.
- - Enter the practice/billing office telephone and fax numbers.
- - Enter an email address for your practice
- - Specify your group NPI.
- - Specify your group Employer Identification Number.
- - Place a check mark here if your practice has its own group NPI number, with individual providers working under the group. If you take the check mark out, both billing and rendering NPI/Tax IDs will be specified in the same field, since the assumption is that they are the same.
- - Only used for electronic billing. It is recommended that you leave this check mark out, as shown on the diagram to the right.
- - Enter the provider's individual NPI number here.
- - Generally, the group Tax ID is used for both fields, however you may use the rendering provider's own tax id for electronic billing purposes.
- - Placing a check mark here will force the software to print whatever name you specify in the field below to BOX 33 on the CMS-1500 claim form.
- - Enter the group NPI number for BOX 33 on the CMS-1500 form.
- - Enter the group Tax ID for BOX 25 on the CMS-1500 form.
Tip: To add a new provider here, just click the Add button. A new tab will open up and you can enter in any information you need. |
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