This is the first in a series of articles which detail the format of each record, based on electronic means, if you have medical billing. It should be noted that the following statistics are for the NSF 3 / 01 format. We are the other formats in future articles. We start with the AA0 record, the first drive, the electronically with entitlement.

AA0 The recording will be the submitter. In other words, this record contains information about how to tell the insurance that is actually through the submission of the claim. Many times the person submitting the claim is not the provider of services if they have an outside agency, the template for them.

Each field in this record is the field number, position, field names and data entry screen description.

Field is the description field in positions 1-3. This tells the receiver what will come, so they know what to look out for, as far as data. Area two, which are in positions 4-19 is the submitter ID. This tells the receiver the ID of the person filing the claim. Field three is not that we skip. Field four positions 29-34 is the template. This tells the recipient just what kind of claim is, like the medical, dental, etc. Field five is the presentation number, occupying positions 35-40. It is important that this figure will be updated by 1 for each template or your claim will be rejected.

We now come into the fields as far submitter information such as name, address, city, state and zip code. These are in the areas of 6-12. Each of these fields are required and must be filled out, the only optional field is the address line 2 field, the Field No. 8 and in positions 104-133. Not everyone has collected data for this area, such as a PO Box or additional line.

Field 14 is the submitter telephone number and this must also be filled in. This is in case the applicant must be contacted to be a problem. Insurance carriers do not like to have an e-mail to communicate with you when there is a problem with your claim. They much prefer to make phone calls.

Sections 15 and 16 are the creation date and time of exposure and be automatically by the software. If the date is not filled in correctly, the claim will be denied. Trust me on this issue.

Sections 17 and 18, the recipient ID and type. One would think that the person who made the allegation knows who they are, but this is to ensure that the claim itself was actually in the right place. When prompted to call for Michigan Blue Cross and it went instead to New York Medicaid, well, you're in big trouble.

In the second part of our AA0 record, we will end up with fields 19 to 33rd This is where things get a little complicated, because some of the fields need some detailed explanation, because they do not cut and dried.

Michael Russell

Your independent guide to Medical Billing