Zip+4

Has anyone heard that insurance companies are going to deny claims that don't have the last 4 digits of the zip code on the patients address?

Oct 14th, 2011 - Codapedia Editor 1,399

re: Zip+4

Unfortunately, you need to call each payer and see what they require for compliance with the new 5010 format. Some will want a nine digit zip code.

Your clearinghouse may just add some 0000's in that field: I don't know if that will work.

Have you tested?

Oct 14th, 2011 - ginaveronica 6

re: Zip+4

hello,I actually work for a clearinghouse and I am also a medical billing consultant.

the clearinghouse you send to can and should populate the additilnal 4 didgits for the zip code if your PM can not. for any address... :)

Oct 16th, 2011 - Codapedia Editor 1,399

re: Zip+4

Thanks so much! That is really helpful to know. do you think all clearinghouses will be able to do that for clients?

Nov 26th, 2011 - billings123 74

re: Zip+4

The zip+4 applies to the insurance adress and patients zip codes as well? I thought just place of service and billing facility? Please clarify.
Thank you.