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Enable Submitter Identification Definition - Registry Setting

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This registry setting enables the following:

The Submitter Identification Definition form.

This form specifies identification information, based on a combination of guarantor, program, service code, and client for a date range.

In addition, the following 837 logic is enabled.

When generating a version 4010 837 bill, a check will be made to see if a value of 'ZZZ' is in the Guarantor/Program Billing Defaults form:

Billing Provider Secondary Identification Code Qualifier 1 (2010AA-REF-01)

Billing Provider Secondary Identification Code Qualifier 2 (2010AA-REF-01)

Billing Provider Secondary Identification Code Qualifier 3 (2010AA-REF-01)

For HIPAA version 5010, the value in the 'Billing Provider Secondary Identification Code Qualifier (2010BB-REF)' field will be verified.

In this registry setting, the following populates information from the Guarantor/Program Billing Defaults form:

  • '1' populates the 'Submitter Primary Identification Qualifier (1000A-NM1-08)', and 'Submitter Primary Identification Number (1000A-NM1-09)' segments with the 'Submitter Identification Code Qualifier', and 'Submitter Identification Number' fields.

This functionality is available in both HIPAA version 4010 and 5010.

  • '2' populates the 'Billing Provider Secondary Identification Code Qualifier (2010AA-REF-01)', and 'Billing Provider Secondary Identification # (2010AA-REF-02)' segments with the 'Billing Provider Secondary Identification Code Qualifier', and 'Submitter Identification Number' fields, for any iteration that includes the 'ZZZ' dictionary code. This applies for HIPAA version 4010.

For HIPAA version 5010, the 'Billing Provider Secondary Identification Code Qualifier (2010BB-REF-01)', and 'Billing Provider Secondary Identification # (2010BB-REF-02)' segments will populate with the 'Billing Provider Secondary Identification Code Qualifier', and 'Submitter Identification Number' fields, for any iteration that includes the 'ZZZ' dictionary code.

  • '1&2' populate both the 1000A-NM1 and 2010AA/BB-REF segments with the values specified in the above fields.

The dictionary code 'ZZZ' needs to be added to the following fields:

  • Billing Provider Secondary Identification Code Qualifier (2010AA-REF-01)

Setup in the Dictionary Update form (Other Tabled Files file - data element 12016).

  • Billing Provider Secondary Identification Code Qualifier 2 (2010AA-REF-01)

Setup in the Dictionary Update form (Other Tabled Files file - data element 12044).

  • Billing Provider Secondary Identification Code Qualifier 3 (2010AA-REF-01)

Setup in the Dictionary Update form (Other Tabled Files file - data element 12046).

For HIPAA version 5010:

Billing Provider Secondary Code Qualifier (2010BB-REF-01)

Setup in the Dictionary Update form (Other Tabled Files file - data element 12157).

'0' disables the above form and associated 837 billing logic.