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Override Claim Submitter Identifier - Registry Setting

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Avatar PM > Billing > Electronic Billing > 837 Professional

'Y' enables the 'Claim Submitter Identifier / Patient Account Number Override (2300-CLM-01)' field in the Guarantor/Program Billing Defaults form (837 Professional section).

This field overrides the Claim Submitter Identifier (2300-CLM-01) segment in the 837 Professional file.

  • The Claim Submitter Identifier (CLM-01) submitted in the 837 file is returned in the Claim Submitter Identifier (CLP-01) of the 835 Health Care Claim Payment/Adjustment file.
  • The Claim Submitter Identifier (CLP-01) is used in the 835 processing to identify the client and claim number to post the payments or adjustments.
  • If the Claim Submitter Identifier (CLM-01) is overridden in the 837 file, the associated 835 file and all payments or adjustments must to be posted manually.

File:myAvatar/myAvatar_PM_-_Practice_Management/Avatar_PM/080/990/note-3L.png If Use REF F8 is selected, the 837P bill will use the Claim Original Reference Number from the Electronic Re-Billing Service Assignment form in the CLM segment for rebills.

note-3l.png If Original Patient Account Number For Re-Bills is selected, the patient account number from the original claimed service in the CLM segment is used for re-bills.

note-3l.png If Sequence Number is selected, the identifier on the bill will be the patient ID concatenated with the value of a counter that increases as more claims are created on the system.

'N' disables the above field.