If you've been following our series on electronic billing formats for medical billing, this is the last part of the AA0 record for 3 / 01 NSF format, the fields 19 to 33rd While this entry is probably less info that any other record in the NSF specifications, it is one of the most important because it identifies the person making the filing of the claim. Without this information, the insurance carrier not to know who the money to pay.

Pick up the box 19, based on positions 244 to 248, is the national version of code. This is the code that tells the carrier, which version of the NSF data. This is very important, because without knowing what version is being sent, they will not know how the processing of the claim. How about with an empty or worse, that the wrong version, you are certainly your claim is denied. Section 20 is the local version of code, and in most cases this is either empty or equal to the 19th Field

Block 21, in positions 254 to 257, the test / production indicator. This tells the carrier if the request is sent for testing or an actual claim, which must be paid. We will for this process in detail in another article. For now, you just need to know that after testing is complete, you must code to the production.

Section 22 is the password used to access the carrier system. Each institution shall designate a password for each provider to use. This ensures that only authorized persons in the system. This contributes to reduction of tax evasion.

Field 23, position 266, is the proliferation status. This field is not in most cases, but in cases where it is used, it is marked, if the claim or return again.

Section 24 is not we skip right to box 25, the vendor applications category. This area basically tells the carrier which category of provider, as many different types of providers may submit claims. Some airlines allow it to empty, since they are not a very important area.

Fields 26 and 27 have to do with the software provider. This is important because there are so many types of assets and software, which for them, as DME claims. The carrier needs to know what kind of software is used.

Field 28, position 291, is the COB or coordination of benefits indicator. This is for the COB billing. Most airlines require this field.

Fields 29 and 30 are the procedures and deadlines. These data are important for this process, because the carrier needs to know what these claims cover data to determine how and whether they are paid.

Box 31 is the recognition request scope. This is used to the carrier, if a confirmation that the claims should be received back to the provider. In this way the vendor know if the claims of at least went through or not.

Field 32 is the date of receipt of the area. This gives the date that the claims received.

Box 33 above national filler. This is one of these areas very strange that nobody really understands. It remains empty. If something in this area, the claims are rejected. This is usually done to ensure that no other format is somehow like a protection.

In our next article we will begin our examination of the BA0 record.

Michael Russell Your Independent guide to Medical Billing