Location Information - Defaults 2 Tab Field Descriptions

The following table provides descriptions for the fields located on the Defaults 2 tab of Location Information window.

Field	Description
National Provider ID	Enter the National Provider Identifier for the location. Note: The NPI is the standard unique identifier for health care providers to use in filing and processing health care claims and other transactions.
Facility Entity ID	Select the facility type that describes the location. You cannot modify this list of IDs because the IDs are predetermined. The Facility Entity ID controls the qualifier in the 837 electronic claim file for the service location loop. The IDs and their corresponding qualifiers are: <blank> – 77 Facility – FA Independent Lab – IL Service Location – 77 Testing Laboratory – TL Note: Some payers require a Facility Entity ID.
Site ID Number	Enter the site ID for the service location.
CLIA ID	Enter the Clinical Laboratory Improvements Amendment ID for the service location. It is required at the Line item (FA0) level of the claim for each Medicare claim filing CLIA covered procedures. This will override the Authorization Number found in box 23 of the HCFA 1500. Each Lab can have a unique CLIA ID, relating to Service Location. If the CLIA number is included on non-CLIA procedures, then Medicare will ignore the CLIA ID.
Mammo Certification	Enter the mammography certification number for the service location. This number displays in Box 32 on 1500 claims.
UB Grace Days	Enter the number of days to add to the last day of the month of the encounter date so that the system can determine the default hold date. For example, if the last day of the month of the encounter date is June 30th and the UB Grace Days field is set to 3, then the hold date would be July 3rd.
Location Tax ID	Enter the Tax ID for the location. This ID can be used in conjunction with the Populate Location Tax ID (NM108 and NM109) option in the Submitter Profile Library.
DME Provider Nbr	Enter your DME provider number if each service location for the practice has a different DME provider number for DMERC billing.
DME NPI	Enter the same DME NPI for all DME regions.
Suppress Rendering/ Attending Loop	This option shows whether the Attending (2310A) and Rendering (2310B) loops are suppressed. For more information, go toNextGen Healthcare Success Communityand download the latestClaims User Guide forNextGen® Enterprise PM.
Healthcare Service Location	Select the healthcare service location type to assign to the current location. The location is included in the Encounter section of a CCDA document when they are generated. Note: You cannot modify the locations in the list.
Taxonomy Code	Enter a taxonomy code for the location if needed.
CCBHC Location	Select this check box to indicate the location provides Certified Community Behavioral Health Clinic (CCBHC) services. This is used for reporting purposes in NextGen® Enterprise PM.
Tax Rate Library	Select which Tax Rate library the location uses. The Tax Rate library selected in the Location master file overrides the library selected in the Charge Entry practice preferences. Tax rates are determined by settings in the Tax Rate library. Note: This field displays only when this location belongs to the practice that you are logged into and the practice has the "Enable Tax Charges" option enabled in Practice Preferences > Taxes.
Claim Type Tab	Select this sub-tab if you want to assign claim-specific IDs for the facility: Medicare Facility ID – Enter the ID for the facility that is used by Medicare. BCBS Facility ID – Enter the ID for the facility that is used by Blue Cross/Blue Shield. Medicaid Facility ID – Enter the ID for the facility that is used by Medicaid. This field provides the option to print the Medicaid ID in Box 32 on 1500 claims. HCFA Box 32 – Select this check box if the facility is valid for Box 32 on 1500 claims. This facility will then be available for selection in the Facility field on the Encounter Maintenance window. Note: The Facility Location check box must also be selected on the Locations Defaults tab.
Payer Tab	Select this sub-tab if you want to assign payer-specific facility IDs to the location. Facility IDs on this tab override any facility IDs on the Claim Type sub-tab.
Enable Crosswalk in Charge Entry	Select this check box to do the following: On the Charge Posting window: Surg Proc field displays for entry of the surgical CPT code Tooth/surface and Quadrant dental fields do not display ALT PROC field does not display On the Defaults-2 tab, the Require Surgical Code at Charge Entry check box and the Crosswalk Order field are activated.
Require Surgical Code at Charge Entry	Select this check box to require the entry of a surgical code in the Surg Proc field on the Charge Posting window.
Crosswalk Order	Select one of the following options: Surg Proc Code - The Surg Proc field displays below the Svc Dates field on the Charge Posting window. When you enter the surgical code; the ASA code populates the Svc Item field. ASA Code - The Svc Item field displays below the Svc Dates field on the Charge Posting window. When you choose a service item; the surgical procedure codes are limited to those associated with the service item. You can enter the surgical code by CPT or description. Note: The surgical code does not need to be entered as a SIM in the Service Item Library.