Override Rendering Provider on Claims
In order to keep up with the continually changing billing requirements of Louisiana Medicaid payers, we've added a group action for "Custom Billing Options by Facility". (To enable this group rule, a Security Administrator should contact Support.) Enabling this action will expose a field in Sites/Letterheads, "Override Rendering Provider on Claims when ANSI Option Selected".
Next, the insurance payer needs to have the ANSI option "Override Rendering Provider on Claims."
When both settings are enabled, claims generated for that particular site will have the Facility NPI in CMS 1500 Form field 24J (Unshaded) and Loop 2310B (Rendering Provider) will be omitted.
Instructions to Set up
After Support has enabled the group rule "Custom Billing Options by Facility," a Group Administrator needs to go to Settings + Directories > Group Level Settings & Directories > Sites/Letterheads tabs.
1. Pick the site on the left side.
2. Click the Edit button.
3. Choose Yes from the radio buttons by 'Override Rendering Provider on Claims when ANSI Options selected'.
4. Click Save button.
5. Go to Insur Payers tab.
6. Select the insurance.
7. Click in the Professional field to open Popover window.
8. Select 'Override Rendering Provider on Claims'.
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