Therabill Support Specialist
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Secondary Claims Submission Unsupported for this Payer
Not all payers allow you to send secondary claims to them electronically. Based on this rejection message, this payer does not accept electronic secondary claims. More than likely, they still req...
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Box 15 - Other Date
What is it? Box 15 identifies another date related to the patient’s condition. This can be entered using the 6-digit (MMDDYY) or 8-digit (MMDDYYYY) date format. This will be identified using one of...
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Aging Balance Does Not Equal Accounts Receivable
There are several reports that show the sum of balances due (which is often your Accounts Receivable). Two such reports are the Balance Aging Report and the Monthly A/R Report. Often times, you mig...
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Invalid Facility Zip
The payer is rejecting because they have found the Zip code that you have provided for the service facility address to be invalid. Unless you have set up separate facility addresses under Admin->...
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Medicare Secondary Payer (MSP) Code
When Medicare Part B has the Responsibility of Secondary or higher (not Primary), the MSP code is required when submitting EDI (electronic) claims. For Standalone Members, this field defaults to 47...
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Box 16 - Dates Patient Unable to Work in Current Occupation
What is it? Box 16 identifies the time span the patient is, or was, unable to work if they are employed and unable to work in their current occupation. This can be entered using the 6-digit (MMDDYY...
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Billing Blue Cross Blue Shield Of Michigan Plans
Blue Cross Blue Shield of Michigan has some distinct peculiarities that can make it difficult to bill out clean claims to this payer. This guide will discuss how to set up plan type and payer names...
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A3 562 P531 BILLING NPI NOT PRESENT ON CORPORATE CROSSWALK
This error is most likely due to submitting a claim with the wrong billing NPI (the equivalent of Box 33 on the CMS-1500). Most payers have your NPI that you shared with them at some point on file...
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Box 17 - Name of Referring Provider or Other Source
What is it?Box 17 identifies the name of the referring provider on the claim. Enter the applicable qualifier to the left of the vertical dotted line to identify which provider is being reported. DN...
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PROV - PERFORMING / RENDERING PROVIDER NUMBER IS REQUIRED NPI
The rejection message from the payer is mentioning the rendering providers NPI and saying it is required. This could mean several things. You did not enter an NPI for the rendering provider in ...