Pay-to Provider IDs

Defining Pay-to Provider IDs  On Billing Forms The Pay-to Provider NPI is not entered or maintained by Billing personnel. The Pay-to Provider NPI is retrieved from the Institution file (#4). Beginning with Patch IB*2*432, the Pay-to Provider Primary ID is the NPI number of the site defined as the Pay-to Provider. The Federal Tax Number is Read More →

Provider ID Set-up

Provider ID Set-up (VA Guidelines) During Provider ID Set-up payers require the use of a variety of provider identifiers on claims submitted for adjudication. Printed claim forms have boxes where these IDs can be printed. The general term, Provider ID, can refer to an ID that belongs to a human being such as an Attending Read More →

Pay-to Provider Set-up

Pay-to Provider Set-up At Veterans Health Administration Pay-to Provider in the VA database is the entity which is seeking payment for a claim (who will receive the payment). Each VA database can have one or more Pay-to Providers. Each VA database must have at least one Payto Provider. The Pay-to Provider does not need to have a physical location. Read More →

Insurance Company EDI Set-up

Insurance Company EDI Set-up At Veterans Health Administration Improper insurance company EDI Set-up and/or provider IDs within VistA can cause claims rejection. With EDI Billing, there are fields in an 837 claim transmission that are autopopulated with the data defined in VistA. This information must be accurate to generate a clean electronic claim. Activate New Payer to Read More →