what are the important field to check before claim submission

Verify all data pertaining to the service is correct. Correct data allows the service to process as is intended, eliminating the need to make corrections after the claim has processed.
  • NPI of Billing Physician
  • Assignment or Non-assignment of claim
  • Health Insurance Number (HIC) of the beneficiary
  • Zip Code of the place of service
  • All related diagnosis reported with the highest degree of specificity
  • NPI of Referring Physician
  • Date of service
  • Place of service
  • Procedure code
  • Modifiers when applicable
  • Number of service(s)
  • Billed amount for each service
  • NPI of Rendering Physician
  • Clinical Laboratory Improvement Amendment Number (CLIA) for laboratory services
  • The date last seen/X-ray date, initial treatment date for Podiatry, Physical Therapy and Chiropractic services
  • Primary payer data

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