ICD-10 Stakeholders Members, P.O. Boxes No Longer Permitted in Billing Provider Address in 5010 Transactions Jan. 1
Do you use a P.O. Box or lock box address as you billing provider address to receive payments? If you submit claims electronically, you will be required use only a street address or physical location as the billing provider address. Continuing to report a P.O. Box in the billing provider address field will cause your claims to reject. Under the Health Insurance Portability and Accountability Act (HIPAA), all physicians and other health care providers that submit claims electronically are required to transition to the Version 5010 transactions by Jan. 1.
One of many data reporting changes in the Version 5010 transactions is the requirement to report only a street address or physical location as the billing provider address. Practices that wish to continue having payments sent to a P.O. Box or lock box will report this address in the “pay-to” address field. You may need to work with your practice management system vendor, billing service, or clearinghouse to have this address change made for your claims. Talk to them today to find out if a change is needed and when it will be done. This work needs to be done prior to Jan. 1 to prevent claims rejections and interruptions in your cash flow. Visit www.ama-assn.org/go/5010 or www.cms.gov/Versions5010andD0 for more information on data reporting changes in the Version 5010 transactions and to prepare your practice for the Jan. 1 deadline.