Setting Up Office Claims Information

You can set up your claims information in Encompass before you use it, or you can change your claims information anytime while you are using the system.

This topic includes:

• Entering Office Claims Information
• Entering Service Facility Location Information

Entering Office Claims Information

1. From the office, click Claims Information. See Navigating Administration for information on how to get to Office: Setup.
2. Record your Office Billing Name.

   The billing name appears in box 33 on the CMS 1500 form.

3. Record your Office Billing Address, ZIP, and City/State.

   You must enter the company’s full 9-digit ZIP code (ZIP + 4) to comply with HIPAA standards. Look up ZIP codes at www.usps.com.

   The company billing address appears in boxes 32 and 33 on the CMS 1500 form.

4. Record your Billing EIN.

   The billing EIN appears in box 25 on the CMS 1500 form Formerly HCFA. The standard claim form used by a non-institutional provider or supplier to bill Medicare carriers and durable medical equipment regional carriers (DMERCs) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of claims. It is also used for billing to some Medicaid state agencies..

5. Record your service facility’s Billing NPI# (either your group NPI number National Provider Identifier number. A unique 10-digit identification number required for all healthcare providers in the United States. or your provider NPI number).

   The billing NPI number appears in box 33a on the CMS 1500 form.

6. Record your CLIA Number.
7. Click Save.

Entering Service Facility Location Information

1. From office administration screen, click Claims Information. See Navigating Administration for information on how to get to the office administration screen.
2. Click Service Facility Location.
3. Click + Service Facility Location.
4. In the Add Service Facility Location window, record the service facility's Name.

   The name appears in box 32 on the CMS 1500 form.

5. Record the service facility's Address, ZIP, and City/State.

   You must enter the full 9-digit ZIP code (ZIP + 4) to comply with HIPAA standards. Look up ZIP codes at www.usps.com.

   The service facility address appears in boxes 32 and 33 on the CMS 1500 form.

6. Select the Active? check box to make the service facility available in the system.
7. Select the Place of Service.
8. Record the Service Facility NPI.

   The NPI number appears in box 32a on the CMS 1500 form.

9. Select a Facility Qualifier.

   The qualifier appears in box 32b on the CMS 1500 form.

10. Record the Facility ID.

    The facility ID appears in box 32b on the CMS 1500 form.

11. Record the Contact Name.
12. Record the place of service’s Phone and Fax numbers.
13. Click Save.