When I send claims through ENS Health they were saying that tax id is in box 33B (loop 2010AA) instead of box 25 (loop 2310). But when I print 1500 form, the tax id is appearing in box 25 only. They were saying that it is happening for only one insurance company, and other insurance companies won’t bother about Tax id in box 25 (BCBS, Cigna, Aetna, Humana, GoldenRule etc).
Is it possible that I am missing something or there could be a problem in the ENS Health claims processing?
I believe I am having the same issue, but I am sending through X12. Having an issue with BCBS Claims. It seems that it is asking for a Provider Secondary ID. I thought that this would be the Tax-ID, but it does not go through. I printed it out on a 1500 form and I can also see that box33B is coming out blank. Let me know if you resolve this.
Box 33b on the CMS1500 is supposed to be blank. Box 33 is the billing facility phone, address etc, and 33a is their facility NPI. The individual provider NPIs will be shown in the respective 24J lines, alongside each of the CPT or HCPCS codes, and are linked by selecting the provider (or leaving the default) in each in the Fee Sheet. If there is a referring provider, that person’s name will be in box 17, and is entered in the patient demographics. You can see where within the Admin - Layout - Demographics. Their NPI will come from the place it was entered, whether in the Users or in the Address book. NONE of those is the Tax ID.
Are you sure you are not referring to the Sender ID you have been assigned by the payer, most of whom will use your tax ID? The Fed Tax ID shown in box 25 of the CMS 1500 is that for the Service Facility as shown in box 32, and their NPI is shown in 32a. Both those come from the info you enter in the Admin - Users - Facility section. Usually, the Sender ID is ONLY entered in the X12 Partners section in Admin - Practice - X12 partners - Add A Partner. If you have been leaving that empty, you will get rejections from your X12 partners of the nature you have seen. Note as well that the descriptions sent for rejects are often terrible descriptions of what is really wrong, as they make a lot of assumptions about why your data is missing, which may have no bearing on your actual error. This can be a typical example.