5010 Implementation Tip - Billing Provider Address


With the 5010 implementation, the billing provider address on the claim must be a physical address. It cannot be a PO Box or a lock box. Physicians who want to have their payments sent to different address must use the pay-to address fields.

The billing provider must be a provider of health care services and cannot be a billing service or clearinghouse.

Source:  American Medical Assocation 5010 Toolkit, July 2011 at http://www.ama-assn.org/resources/doc/washington/5010-toolkit.pdf.

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