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Enable Pay-To Provider Name (2010AB) - Registry Setting

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Avatar MSO > Claims Processing > HIPAA Health Care Claims > 837 Institutional > Outbound

'Y' enables the following fields to the Funding Source/Contracting Provider Reporting Defaults form:

  • Pay-to Provider Last Or Organization Name (2010AB-NM1-03)

  • Pay-to Provider Identification Code Qualifier (2010AB-NM1-08)

  • Pay-to Provider Identifier (2010AB-NM1-09)

  • Pay-to Provider Address Line 1 (2010AB-N3-01)

  • Pay-to Provider Address Line 2 (2010AB-N3-02)

  • Pay-to Provider City (2010AB-N4-01)

  • Pay-to Provider State (2010AB-N4-02)

  • Pay-to Provider Zip Code (2010AB-N4-03)

  • Pay-to Provider Reference Identification Qualifier (2010AB-REF-01)

  • Pay-to Provider Additional Identifier (2010AB-REF-02)

These fields include Pay-To Provider Name (2010AB) information in the 837 Institutional submission file.

When generating an 837 Institutional version 5010 bill, if the 'Pay-to Provider Address Line 1 (2010AB-N3-01)' field is blank, the 'Billing Address - Street 1', 'Billing Address -Street 2', 'Billing Address - City', 'Billing Address - State', and 'Billing Address - Zip Code' fields on the Contracting Provider Registration form will populate this loop.

'N' disables the above fields in the above form.