Add Informational Diagnosis Codes to the 837-5010-P Claim File

Overview

This guide explains how to add informational diagnosis codes to your 837-5010-P claim files at the insurance carrier level.

Considerations

Adding the diagnosis codes to your 837-5010-P claim files requires enabling a new setting. When the setting is enabled:

• It includes all active diagnosis codes, meaning codes active in the date range of the weekly/monthly claim, in the 2300 HI claim segment.

• The codes are included whether or not they are associated with a service.

Setting Configuration

Follow these steps to enable the setting:

1. Open the Accounts module (dollar icon) and select Third Party Billing from the Account Management tab.
2. Choose the desired carrier from the Insurance Carrier dropdown and select Edit Carrier Detail.
3. On the General tab of the Insurance Carrier Information Management screen, select Send all active diagnosis codes in the 2300 HI claim segment. whether or not they are associated with a service.
4. Select Save.

Note: Users must have third party billing admin privileges to make changes on this screen.