P.O.
Box Addresses not Accepted
In regard to
P.O. boxes being used after 5010
is implemented, Gateway
EDI's website posted the following
information:
Will I have to
submit a physical address on a
claim (street number and name)
in the billing provider address?
Yes. The Billing
Provider Address reported must
be a physical address. PO
Box and lock box addresses cannot
be reported as a Billing Provider
Address once 5010 is implemented. This
rule applies to both
professional and institutional
claim formats. Providers
should work with their software
vendors to ensure that the correct
addresses are captured and sent
in the correct locations for the
5010 implementation deadline.
Can I still have
payments sent to a lock box or
post office box?
Yes. If you use
a PO Box or lock box address as
your location for payments and
correspondence from payers, you
can continue to use this approach,
however; you must report this
location as a Pay-to Address.
(2010AB loop for ANSI claims). The
Pay-To Provider address is only
needed if it is different than
that of the Billing Provider and
providers should work with their
software vendors to ensure that
the correct addresses are captured
and sent in the correct locations
for the 5010 implementation deadline.
I'm in a rural
area and have a PO box because
there is no mail delivery. Should
my Billing Provider Address be
my mailing address?
No. The
Billing Provider Address is the
address where the services were
rendered. This location address
may or may not be the same as
the mailing address. If your mailing
address is a PO Box, it will be
reported as a Pay-to Address only.
As verified with
Gateway EDI, Emdeon, and the American
Medical Association, this applies
to both Institutional/UB04 and
Professional/HCFA billing.
Please note,
a March 18, 2011 publication from
the American Medical Association
stated that per upcoming HIPAA
dates, the due date for compliance
with version 5010 transactions
is January 1, 2012. |
