y. This is a two character code that designates the specialty, such as podiatry, of the provider. This field must be filled in or the claim will be denied. The reason is that the payer needs to see that the provider is authorized to bill for such a claim. For example, if the provider was a podiatry specialist and was billing for an ophthalmology claim, the claim would be denied.

FA0 field 38, position 191, is the podiatry therapy indicator. This indicator needs to be filled in if the patient had therapy for a condition related to a podiatry claim.

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Medical billing is complex enough on paper. Throw electronic medical billing into the mix and it gets even more complex. In this installment in our series, we're going to cover NSF 3.01 specifications FA0 record, fields 29 through 38

FA0 field 29, position 140, is the review code indicator. This is an indicator that tells the payer if the claim was under previous review. This is sent for claims that have usually been previously submitted.

FA0 field 30, position 141, is the multiple procedure indicator. This field, when checked, tells the payer if more than one procedure was performed in relation to the claim being submitted. In some cases, only the first procedure is covered, especially if it is elective surgery.

FA0 field 31, positions 142 - 151, is the mammography certification number. This is a number that needs to be filled in if the procedure being billed involves a mammography. This is the ID number of the mammography itself for that particular patient.

FA0 field 32, positions 152 - 160, is the class findings. This field is currently not supported by NSF 3.01 specifications so we'll skip over it and move on to the next field.

FA0 field 33, positions 161 - 163, is the podiatry service condition. This is a three character code for the procedure if it involved a podiatry service. This field is rarely used.

FA0 field 34, positions 164 - 178, is the CLIA number. CLIA stands for Clinical Laboratory Improvement Amendments. This program was set up to insure quality lab testing in the diagnosis of various diseases. This field transmits the testing number for this patient if indeed any clinical tests were done.

FA0 field 35, positions 179 - 185, is the primary insurance amount paid. This is the amount paid by the patient's primary insurance company on this claim. This amount will be filled in if the claim was billed previously and is being re-billed in order to get additional monies.

FA0 field 36, positions 186 - 187, is the procedure modifier 4. In some cases of medical billing a 4th modifier has to be transmitted, usually for a type of rental equipment during a certain month. This field allows for that 4th modifier to be transmitted.

FA0 field 37, positions 188 - 190, is the provider specialty. This is a two character code that designates the specialty, such as podiatry, of the provider. This field must be filled in or the claim will be denied. The reason is that the payer needs to see that the provider is authorized to bill for such a claim. For example, if the provider was a podiatry specialist and was billing for an ophthalmology claim, the claim would be denied.

FA0 field 38, position 191, is the podiatry therapy indicator. This indicator needs to be filled in if the patient had therapy for a condition related to a podiatry claim.

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than one procedure was performed in relation to the claim being submitted. In some cases, only the first procedure is covered, especially if it is elective surgery.

FA0 field 31, positions 142 - 151, is the mammography certification number. This is a number that needs to be filled in if the procedure being billed involves a mammography. This is the ID number of the mammography itself for that particular patient.

FA0 field 32, positions 152 - 160, is the class findings. This field is currently not supported by NSF 3.01 specifications so we'll skip over it and move on to the next field.

FA0 field 33, positions 161 - 163, is the podiatry service condition. This is a three character code for the procedure if it involved a podiatry service. This field is rarely used.

FA0 field 34, positions 164 - 178, is the CLIA number. CLIA stands for Clinical Laboratory Improvement Amendments. This program was set up to insure quality lab testing in the diagnosis of various diseases. This field transmits the testing number for this patient if indeed any clinical tests were done.

FA0 field 35, positions 179 - 185, is the primary insurance amount paid. This is the amount paid by the patient's primary insurance company on this claim. This amount will be filled in if the claim was billed previously and is being re-billed in order to get additional monies.

FA0 field 36, positions 186 - 187, is the procedure modifier 4. In some cases of medical billing a 4th modifier has to be transmitted, usually for a type of rental equipment during a certain month. This field allows for that 4th modifier to be transmitted.

FA0 field 37, positions 188 - 190, is the provider specialty. This is a two character code that designates the specialty, such as podiatry, of the provider. This field must be filled in or the claim will be denied. The reason is that the payer needs to see that the provider is authorized to bill for such a claim. For example, if the provider was a podiatry specialist and was billing for an ophthalmology claim, the claim would be denied.

FA0 field 38, position 191, is the podiatry therapy indicator. This indicator needs to be filled in if the patient had therapy for a condition related to a podiatry claim.

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t and move on to the next field.

FA0 field 33, positions 161 - 163, is the podiatry service condition. This is a three character code for the procedure if it involved a podiatry service. This field is rarely used.

FA0 field 34, positions 164 - 178, is the CLIA number. CLIA stands for Clinical Laboratory Improvement Amendments. This program was set up to insure quality lab testing in the diagnosis of various diseases. This field transmits the testing number for this patient if indeed any clinical tests were done.

FA0 field 35, positions 179 - 185, is the primary insurance amount paid. This is the amount paid by the patient's primary insurance company on this claim. This amount will be filled in if the claim was billed previously and is being re-billed in order to get additional monies.

FA0 field 36, positions 186 - 187, is the procedure modifier 4. In some cases of medical billing a 4th modifier has to be transmitted, usually for a type of rental equipment during a certain month. This field allows for that 4th modifier to be transmitted.

FA0 field 37, positions 188 - 190, is the provider specialty. This is a two character code that designates the specialty, such as podiatry, of the provider. This field must be filled in or the claim will be denied. The reason is that the payer needs to see that the provider is authorized to bill for such a claim. For example, if the provider was a podiatry specialist and was billing for an ophthalmology claim, the claim would be denied.

FA0 field 38, position 191, is the podiatry therapy indicator. This indicator needs to be filled in if the patient had therapy for a condition related to a podiatry claim.

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is the primary insurance amount paid. This is the amount paid by the patient's primary insurance company on this claim. This amount will be filled in if the claim was billed previously and is being re-billed in order to get additional monies.

FA0 field 36, positions 186 - 187, is the procedure modifier 4. In some cases of medical billing a 4th modifier has to be transmitted, usually for a type of rental equipment during a certain month. This field allows for that 4th modifier to be transmitted.

FA0 field 37, positions 188 - 190, is the provider specialty. This is a two character code that designates the specialty, such as podiatry, of the provider. This field must be filled in or the claim will be denied. The reason is that the payer needs to see that the provider is authorized to bill for such a claim. For example, if the provider was a podiatry specialist and was billing for an ophthalmology claim, the claim would be denied.

FA0 field 38, position 191, is the podiatry therapy indicator. This indicator needs to be filled in if the patient had therapy for a condition related to a podiatry claim.

In o

y. This is a two character code that designates the specialty, such as podiatry, of the provider. This field must be filled in or the claim will be denied. The reason is that the payer needs to see that the provider is authorized to bill for such a claim. For example, if the provider was a podiatry specialist and was billing for an ophthalmology claim, the claim would be denied.

FA0 field 38, position 191, is the podiatry therapy indicator. This indicator needs to be filled in if the patient had therapy for a condition related to a podiatry claim.

In our next installment of medical billing of NSF 3.01 specifications, we'll be covering the FA0 record starting with field number 39.