This section is for all the Facilities you see patients at (hospitals, surgicenters, nursing homes, etc.). Each patient is linked to a particular facility to insure correct place of service code assignment on insurance claims.
Entering a New facility
WARNING: A least one record in this section must be for your main office and its Code must be “OFF”. Any Code that starts with OFF will be considered to be an office that you see patients at. For these select Show Address as No. If you sell Durable Medical Equipment, or DME (which includes contact lens after cataract surgery, believe it or not) use a different code for the office that dispenses the DME but use the same address and select Show Address as Yes!
Special Fields
- Name is for the name of the facility. Do not go beyond one line or use special characters!
- If there is a person to contact at this facility, fill in the First, MI, Last,Title fields.
- Facility
No 1 through 4 have been replaced with specific fields for Medicare, Blue Shield, Medicaid and Tax ID Number No. The older fields
remain as a reference.
- The CLIA
No. is required if you perform laboratory tests in your office.
- For Residence there is a pop-up list of selections if any apply to this facility.
- The field Suffix is no longer used by has been left in for backwards compatibility.
- POS is the Place Of Service code for this facility and is a required field. The pop-up list shows all the accepted place of service locations with their POS codes. The office is “11”. This list is actually stored in the PickList database. In the event an insurance, such as Medicaid, does not accept the standard POS codes, you can attach 2 more codes (Old and Other) to each facility and select in the Insurance record which POS code to reference on related claims. With the advent of HIPAA and ANSI X12 transmission standard, there will be only on acceptable list in the future.
- Show Address determines if this facility's address gets printed on insurance claims.
In several states, they required that the Group ID transmitted with a claim be different depending on the location of the office. You can enter the override for Medicare, Medicaid and Blue Shield. So far commercial carriers do not care.
The remainder of the fields are straight forward.
updated 6/4/2004