Files > IB INSURANCE CO LEVEL BILLING PROV ID

name
IB INSURANCE CO LEVEL BILLING PROV ID
number
355.91
location
^IBA(355.91,
description
This file contains one record for each provider id that an insurance company assigns to a facility for ALL billing providers at the facility. Each record can be for an insurance company and any combination of the patient status, form type and care unit. There must be only one record for each combination. This file contains the id numbers for the following levels: o Assigned by insurance company to all providers o Assigned by insurance company, to all providers, one id for each care unit
Fields
#NameLocationTypeDetailsIndexDescription
.01insurance co(+)0;1POINTER36BThis is the name of the insurance company that the id is being defined for.
.03provider id care unit0;3POINTER355.96ACAREThis is the generic, lowest breakdown provided for identification of the provider id. This can be virtually any piece of data the insurance co chooses to use. The unit must be entered manually on each bill. *** NOT CURRENTLY USED ***
.04form type applied to(+)0;4SET OF CODES0:BOTH UB-04 AND CMS-1500 FORMS
1:UB-04 FORMS ONLY
2:CMS-1500 FORMS ONLY
This designates whether the id number is to be used for just UB-04 form types, just CMS-1500 form types or both form types.
.05bill care type(+)0;5SET OF CODES0:BOTH INPATIENT AND OUTPATIENT
1:INPATIENT ONLY
2:OUTPATIENT ONLY
3:PRESCRIPTION ONLY
This designates whether the id number is to be used for just inpatient bills, just outpatient bills, both inpatient and outpatient bills or just prescriptions.
.06provider id type(+)0;6POINTER355.97This is the indicator of what type of id is being recorded.
.07provider id(+)0;7FREE TEXTCThis is the provider ID that will be reported for the provider id type for the insurance co
.1index value care unit(+)0;10FREE TEXTThis field contains the value for the care unit or '*N/A*' if no care unit is selected. This is to assure uniqueness in the records in the file even if the care unit is blank.

Not Referenced