Any fields not required for the particular claim being lodged will be greyed out.
This documentation is provided for informational purposes. In most instances the default settings will be correct.
Field |
Description |
---|---|
Provider - Servicing |
Is the provider number of the medical practitioner rendering the service(s) as allocated by Medicare. |
Payee Provider Number |
the provider number of the principal provider where the payment is to be directed to other than the servicing provider.
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