| After reading an entire review of FA0 record field | | | | provider ID. Unless you're being treated by your |
| number 18 for medical billing of claims via electronic | | | | primary physician, most procedures that are done are |
| media, you're probably hoping to get a little bit more | | | | referred to by that general practitioner. The referrer ID |
| information in this installment. Not a problem. We pick | | | | of that physician must be filled in here if there was |
| up with field number 19. | | | | indeed a referral. This is a conditional field. |
| FA0 field 19, positions 86 - 89, is Anesthesia Minutes. | | | | FA0 field 25, positions 123 - 124, is the referring |
| While this field is hardly ever used, when it is used it's | | | | provider state. This is the two character state code of |
| to send the number of minutes to be billed for a patient | | | | the referring provider if there was one. |
| who was put under anesthesia for a particular | | | | FA0 field 26, position 125, is the purchase service |
| procedure. The reason for this is that the | | | | indicator. This is checked off to show the payer that a |
| anesthesiologist is paid for his time. | | | | service was purchased rather than an actual item. |
| FA0 field 20, position 90, is the emergency indicator. | | | | FA0 field 27, positions 126 - 132, is the disallowed cost |
| This field needs to be filled in if the patient was | | | | containment amount. Keeping this explanation simple, |
| admitted to emergency. There is special billing for this. | | | | this is the amount of the charges that are not allowed, |
| FA0 field 21, position 91, is the COB indicator. COB | | | | or not covered. For example, let's say there is a |
| stands for coordination of benefits. This field needs to | | | | procedure for $100 that includes some kind of |
| be filled in if the patient does have COB. In most cases, | | | | additional procedure that is $25. If that additional |
| unless the patient has no insurance, this is filled in. | | | | procedure is not covered then even though the claim |
| FA0 field 22, position 92, is the HPSA indicator. HPSA | | | | is billed for $125, the allowed amount will be $100 and |
| stands for Health Professional Shortage Area. This is | | | | therefore the disallowed cost containment amount will |
| an area, usually in poverty zones, where they have a | | | | be $25. |
| shortage of health care. This indicator needs to be | | | | FA0 field 28, positions 133 - 139, is the disallowed other |
| filled in if this is a claim for HPSA. | | | | amount. This field is for reporting any additional |
| FA0 field 23, positions 93 - 107, is the rendering | | | | disallowed costs that can't be reported in field 27. The |
| provider ID. This is the provider who actually provided | | | | reasons for this are beyond the scope of this article. |
| the services to the patient, such as the doctor. This | | | | In our next installment of medical billing of electronic |
| field must be filled in or the claim will be denied. | | | | claims, we'll pick up with FA0 field number 29. |
| FA0 field 24, positions 108 - 122, is the referring | | | | |