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Billing Address & Hipaa 5010

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camedbill:
I heard there is a new requirement for Ansi 5010 that we have to use a physical address for the billing address?  Some of our providers use P.O. Boxes for mailing and billing (Box 33).  Anybody finds this to be a problem?

midwifebiller:
Many of our providers use a PO box, too.  The insurance companies just need to have the physical address on file, and we have not had many problems requesting all correspondence to to the PO box.  There is always the insurance company (or two) who we have to tell several times to use the PO box, but they eventually all get it.

camedbill:
I'm talking about the new electronic format requirement for Ansi 5010:
'Modification of billing provider note in loop 2010AA to prohibit use of P.O. Box addresses'

Michele:
I haven't heard that but I can't imagine how they are going to do that.  Many providers use PO Boxes or lock boxes to prevent office theft.  Some use it just for administrative purposes, to keep payments separate from all other mail.  But many use them for a variety of reasons.

pattil88:
In version 5010 you can no longer use a P.O. Box as the primary billing address. If a practice uses a P.O. Box for payments, correspondence, etc. it will need to be reported in the "Pay-To" provider field.  (Not sure which loop/segment that's in for the 5010 format but your clearinghouse/software vendor should know.)

Speaking of 5010 format changes, make sure your software vendors/clearinghouses test early - there are some issues that are starting to get reported from early testing such as zip + 4 requirements in address fields, reporting dependents as subscribers, making sure NPI numbers are consistently enrolled, etc.

I don't have the links at my fingertips now but there is a bunch of info on the CMS/AMA and other websites that have more details on the testing that has been done to date and what to watch for regarding the 5010 format.

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