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Lab service claims should include ordering clinician NPI
November 18, 2020

This article is for acute care hospitals, limited service clinics, physician offices, and urgent care centers caring for our members

We've noticed that claims for lab services sometimes omit the ordering clinician NPI. Please remember to include the ordering clinician NPI when billing for all lab services (including COVID-19 testing).

Be sure to complete loop 2310A (claim level) on the 837 Professional electronic claim form.

Or, if you need to submit your claim on paper, complete fields 17A & B on the CMS-1500 health insurance claim form, as shown below:

Inappropriate claims may be denied.