| 1500/1500 |
- The main payer claims pull the taxonomy code from the Group master file.
- When the taxonomy code is attached to the alternate payer, the code overrides the group taxonomy in the Group master file in the 837 Professional 2000A loop PRV segment for all Alternate Payer claims for the specific location for the payer.
- If the Alternate Payer Taxonomy Code field is blank, the claim pulls the taxonomy code from the Group master file for alternate payer claims.
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| UB/1500 |
- When the taxonomy code is attached to the enhanced UB tab for a specific location for the main Payer, the taxonomy code overrides the group taxonomy in the Group master file in the 837 Institutional 2000A loop PRV segment.
- If the Taxonomy Code field is blank for a specific location on the enhanced UB tab, then the claim pulls the taxonomy code from the Group master file for UB claims.
- When the taxonomy code is attached to the alternate payer, the code overrides the group taxonomy in the Group master file for all Alternate Payer claims for the specific location for the payer.
- If the Alternate Payer Taxonomy Code field is blank, the claim pulls the taxonomy code from the Group master file for alternate payer claims.
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| UB/UB |
- When the taxonomy code is attached to the enhanced UB tab for a specific location for the main Payer, the taxonomy code overrides the group taxonomy in the Group master file.
- If the Taxonomy Code field is blank for a specific location on the enhanced UB tab, then the claim pulls the taxonomy code from the Group master file for the UB claims.
- For the Alternate Payer claims, if the taxonomy code is attached to the Alternate Payer for the specific location, then the code overrides the taxonomy code that is attached on the enhanced UB tab for a specific location.
- If the Taxonomy Code field is blank on the Alternate Payer tab for a specific location and is also blank on the enhanced UB tab for a specific location, the claim pulls the taxonomy from the Group master file for alternate payer claims.
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| 1500/UB |
- The main payer claims pull the taxonomy code from the Group master file.
- When the taxonomy code is attached to the alternate payer, the code overrides the group taxonomy in the Group master file in the 837 Institutional 2000A loop PRV segment.
- For the Alternate Payer claims, if the taxonomy code is attached to the Alternate Payer for the specific location, then the code overrides the taxonomy code that is attached on the enhanced UB tab for a specific location.
- If the Taxonomy Code field is blank on the Alternate Payer tab for a specific location and is also blank on the enhanced UB tab for a specific location, the claim pulls the taxonomy from the Group master file for alternate payer claims.
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