Topics Clinic Codes Search:  

EDI Transaction IDs are defined for a Provider-Insurance company combination.
These can be defined in this option. 

Business Unit: The user can select the Business Unit from the search icon. By clicking on the search icon, only active Business Units are available for selection. This is a mandatory field.

Insurance: The user can select the Insurance from the search icon. By clicking on the search icon, only active Insurances are available for selection. This is a mandatory field.

 Location: The user can select the Location from the search icon. By clicking on the search icon, only active Locations are available for selection
Group Number (G2 Qualifier): The user can provide a unique number which is assigned to the selected Provider for the selected Insurance.
Location Number (LU Qualifier): The user can provide a unique number which is assigned to the selected Provider for the selected Insurance for the selected Location.
When configured, the Provider Number will populate on claims only when the selected Business Unit + selected Insurance + selected Location are present on the claim. It is displayed under Other ID 2010BB Ref in the EDI file and in CMS 1500 under (CMS: 33B). 


Note: If the Business Unit, Insurance, and Location are selected from the search icon and saved, the search icon is displayed as disabled. To add a new record, the user will have to click on the Add New button.