Facility/laboratory name and/or address
N294: Missing/incomplete/invalid service facility primary address.
MA114: Missing/incomplete/invalid information on where the services were furnished.
• Refer to Item 32 on the claim form. Service facility information is used to price claims. Enter the service location name and complete address on the claim.
• Enter the service location name, street address, city, state and a valid ZIP code in item 32.
• The location where the service was rendered is required for all place of service (POS) codes.
• If additional entries are needed, separate claim forms must be submitted.
• If required by Medicare claims processing policy, enter the NPI of the service facility in item 32a.
Purchased service/primary provider identifier
N270: Missing/incomplete/invalid other provider primary identifier.
N283: Missing/incomplete/invalid purchased service provider identifier.
Effective for claims submitted with a receipt date on and after October 1, 2015, billing physicians and suppliers must report the name, address, and NPI of the performing physician or supplier on all anti-markup and reference laboratory claims, even if the performing physician or supplier is enrolled in a different contractor’s jurisdiction. Physicians and suppliers may no longer indicate their own information when the laboratory service(s) were purchased..
• Enter the valid performing physician or supplier’s NPI in item 32a.
• Enter the actual performing physician/supplier’s name, address and ZIP code in item 32.
N294: Missing/incomplete/invalid service facility primary address.
MA114: Missing/incomplete/invalid information on where the services were furnished.
• Refer to Item 32 on the claim form. Service facility information is used to price claims. Enter the service location name and complete address on the claim.
• Enter the service location name, street address, city, state and a valid ZIP code in item 32.
• The location where the service was rendered is required for all place of service (POS) codes.
• If additional entries are needed, separate claim forms must be submitted.
• If required by Medicare claims processing policy, enter the NPI of the service facility in item 32a.
Purchased service/primary provider identifier
N270: Missing/incomplete/invalid other provider primary identifier.
N283: Missing/incomplete/invalid purchased service provider identifier.
Effective for claims submitted with a receipt date on and after October 1, 2015, billing physicians and suppliers must report the name, address, and NPI of the performing physician or supplier on all anti-markup and reference laboratory claims, even if the performing physician or supplier is enrolled in a different contractor’s jurisdiction. Physicians and suppliers may no longer indicate their own information when the laboratory service(s) were purchased..
• Enter the valid performing physician or supplier’s NPI in item 32a.
• Enter the actual performing physician/supplier’s name, address and ZIP code in item 32.
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