HIPAA > HIPAA

PO Box change for mental health billing?

<< < (2/2)

PMRNC:
You are receiving false or mis understood information.   Indeed there MUST be a valid physical address with 9 digit zip code format for all HIPAA 5010 claim transactions.   While the PAY To address (used for payments and remittances) can be a PO box.  This is part of HIPAA 5010 NATIONAL changes. Carriers are NOT getting to pick/choose which formats are accepted, this is done on the national level.   Here is info right from Highmark's website.

https://www.highmark.com/edi/news/hipaa/2011/avoidErrors-051611.shtml

PMRNC:
Also there are no separate compliance regulations in regards to claim transactions for mental health providers or any other specialty, just wanted to add that in due to the subject field. ALL providers must be in compliance.

MFunk:
Wow! Loving the fast response. I'm new here. Plus I was looking everywhere for that PO box documentation.  "I think I'm gonna like it here!!"

PMRNC:
I did a little of my own digging because I do mental health too and many MH provider's don't want their address sent.. USUALLY when you credential most of the carriers require an actual physical address anyway, and even though it's required for 2010 transactions, the carriers will still send payments and remittances to the address they have on file, with that in mind, I'm pretty sure patient's won't see the physical address at all and that would be the only thing providers would need to be concerned with.. but again, they had to provide a physical address for credentialing purposes, so this really shouldn't be a big deal.

Navigation

[0] Message Index

[*] Previous page