Re: 837 Institutional Loop 2310A - Attending Physician

[Natasha Farvan]

No, we only bill w/ phys and/or phys group provider number. I believe the provider applications that the phys. have to fill out in order to bill require their ss# so that a 1099 can be sent to them. >>> [EMAIL PROTECTED] 01/11/02 12:04PM >>> Question:  Are there any large health care facilities folks on this list serve?  If so, answer me this:  Do you currently collect/keep current the SSN/EIN of all your physicians that you bill for? I'm curious.  If you're a large health care facility (or even a medium one) could you reply to this email?  Thanks! Jan Root Kepa Zubeldia wrote: > Jonathan, > > The NM109 needs to have the attending physician TaxID/EIN or the SSN. > Then the UPIN is sent in the REF segment as secondary identifier. > > <gap analysis> > This means that you are going to have to collect the tax ID or SSN > numbers for the attending physicians, not just the UPIN. > </gap analysis> > > I hope this helps. > > Kepa > > Jonathan Fox wrote: > > > > I have a question... > > > > On page 323 of the 837 Institutional Guide, the only valid Identification Code Qualifiers are: > > > > 24 - Employer's Identification Number > > 34 - Social Security Number > > XX - NPI (when available) > > > > The note stated above the valid qualifiers indicates that Medicare assigns the UPIN to the provider for identification purposes and it looks like the intention is to use the UPIN with a 24 Qualifier and the UPIN number as the code. > > Assuming that Employer Identification Number is equivalent to a provider's tax ID, it would seem that the UPIN number is not a compliant code to submit in NM109.   Is this compliant? > > It would be easier for us to accept UPIN in this section as well if possible since tax ID is not always known, but we do not want to promote non-compliance with our providers.  How are other people handling this? > > > > Jonathan Fox > > eCommerce Analyst > > Independent Health > > > > CONFIDENTIALITY NOTICE. This e-mail and attachments, if any, may contain confidential information which is privileged and protected from disclosure by Federal and State confidentiality laws, rules or regulations.  This e-mail and attachments, if any, are intended for the designated addressee only .  If you are not the designated addressee, you are hereby notified that any disclosure, copying, or distribution of this e-mail and its attachments, if any, may be unlawful and may subject you to legal consequences.  If you have received this e-mail and attachments in error, please contact Independent Health immediately at (716) 631-3001 and delete the e-mail and its attachments from your computer.  Thank you for your attention. > > > > ********************************************************************** > > To be removed from this list, send a message to: [EMAIL PROTECTED] > > Please note that it may take up to 72 hours to process your request. > > ********************************************************************** > To be removed from this list, send a message to: [EMAIL PROTECTED] > Please note that it may take up to 72 hours to process your request. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.