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Misc. Options

Misc. Options

The Misc. Options area of the EDI Settings tab is used to configure a variety of options related to processing electronic claims.

Field

Description

GL Account No

Use this field to enter the agency’s general ledger number.

This Payer Uses a Supplemental File for 835 Pend/Deny Reporting

Select this checkbox if the payer uses a supplemental file to report Pending and Denied statuses on the claims.

Include Rendering Staff Name/NPI in 2420A Loop

Select this checkbox if the payer requires the claim to include the rendering staff's name and NPI in the 2420A loop on the export file.

Include REF D9 line in EDI export.

Select this checkbox if the payer requires that the REF D9 line be included in the export file.

Include Service Facility Address

Select this checkbox if the payer requires that the service facility address be included in the export file.

Use Authorization Provider.

Select this checkbox to use the Authorization Provider.

Disable Export

Select this checkbox to disable the billing export for this payer.
When checked, the system does not create an export file for invoices attached to this payer.

Use 5010 when sending 270 files.

Select this checkbox if the payer request that you send 270 files on the 5010 format.
This enables the "270 Batch Eligible" field.

Remittance Format

Use this drop-down menu to choose the payer's remittance format, 5010 or 4010.

Custom ID

Use this field to enter the custom identification number set by the agency.

Include Remit Address

Select this checkbox to include the Remit Address on the export file.

Use Carrier Codes

Select this check box to use carrier codes.

Include Ordering Physician in the 2420E Loop.

Select this checkbox if the payer requires the Order Physician information in the 2420E Loop on the export file.

Include Rendering Physician in the 2420A Loop.

Select this checkbox if the payer requires the Rending Physician in the 2420A Loop on the export file.

Report Supervising Staff Name and NPI

Select this checkbox if the payer requires the Supervising Staff's name and NPI on the export file.

Include Contract Info in the 2310B Loop.

Select this checkbox if the payer requires the contract info in the 2310B loop on the export file.

Include Contract Info in the 2310B Loop

Select this checkbox if the payer requires the contract info in the 2310B loop on the export file.

Include G2 segment for 2310B Loop

Select this checkbox if the payer requires the G2 segment on the 2310B loop on the export file.

Hold Visit Verification with no Address Type

Select this checkbox if you need the system to not auto-confirm visits for this payer when there is no address type set on the client's profile.

Hold Visit Verification with no Zip Code

Select this checkbox if you need the system to not auto-confirm visits for this payer when there is no Zip code set on the client's profile.

Hold Visit Verification with no Service

Select this checkbox if you need the system to not auto-confirm visits for this payer when there is no service verification on the visit.

Hold Visit Verification with no Customer Number

Select this checkbox if you need the system to not auto-confirm visits for this payer when there is no customer number set on the client's profile

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