This table contains a listing of all Insurance carrier types to be used in the CMS -1500 claims process (This is relates to any legacy number used on the form such as CMS form item # 24I shaded area). Users can edit this table to meet their specific requirements.
Each insurer type has an Ansi X12 (legacy) Type code assigned to it by the Federal Government for claims processing purposes. Insure that when you add a new insurance carrier type that you also add the assigned Ansi X12 Type code for proper electronic claims processing to occur. Filopto provides default values that should work for most practices. The Ansi X12 Legacy Type Code is the code used to complete the CMS 1500 form item 24I Shaded, 32b Shaded, 33b Shaded, 17a Shaded Area.
IMPORTANT:
Only make changes to this table if specifically required by the insurance carrier. For example in Kentucky the Medicaid Ansi X12 Type Code to be used in 24I shaded area is to be replaced with the Taxonomy code of ZZ and not the Federal code of 1D. To change to ZZ you would modify this table and item 24I shaded would now contain the new data.
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Only create or remove custom Ansi x12 Type codes applicable to a specific insurance company Insurance plan that you will not be using. The Ansi x12 Type code is given by the federal government to the insurance company. If the incorrect Ansi X12 Type code is used the claim is rejected.
If you create a new Ansi X12 Type code you must link it with the insurance company for proper use in the claim process. In the Insurance Company profile choose the newly created Carrier Type.
The Insurance Carrier Type located in the Insurance Company Information screen is used to complete the CMS 1500 Item #1.
