Carrier Codes - PM
Some Medicaid payers require providers to submit a Carrier ID on secondary claims in the 2330B /2430 loops. This field is used determine whether the payer ID or specified carrier ID should be submitted in the Other Payer Name Loop when there is COB information to submit to this payer.
The Carrier ID is different than the Payer ID that is submitted on the primary claim. For larger organizations that provide services in multiple states, the Carrier Code for the same primary payer may be different for each state Medicaid program. This section allows users to record the Carrier Codes that each Medicaid guarantor expects to be submitted for the primary payers.
Prerequisites: Under the 837 section of the Guarantors/Payors form, the field Value to Display in 2330B NM1-09/2430 SVD-01 will need to be configured to report the carrier code.
- In the Guarantors/Payors form, select the secondary guarantor that needs an alternate carrier code in lieu of a payer ID for the primary payer. This is typically a Medicaid guarantor.
- Click on New Row to add a new row to the Carrier Codes for Secondary Billing table.
- In the Guarantor field, search for the primary guarantor.
- Enter the Carrier Code. The carrier code entered here will print in 2330B NM1-09/2430 SVD-01 on the secondary claim (payer selected in step 1).
- Click on File.
Note: After completing these steps you will need to go to the 837 section and select Carrier Code in Value to Display in 2330B NM1-09/2430 SVD-01 field. If the carrier code is selected and no carrier code is entered in Carrier Codes section on the Guarantors/Payors form for the primary guarantor, then the claim will not be included on the file and will receive an error on the 837 error report.