"Send 85
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"If the Providers window, Provider IDs tab, Provider IDs grid entry Claim Type Individual button is selected, then send the Address tab, Last Name field.
If the Providers window, Provider IDs tab, Provider IDs grid entry Claim Type Group button is selected, then send the Practice Information window, Practice tab, Practice Name.
In either case, the appropriate grid entry is selected by the rules engine.
If EDI Receiver, Extras tab, Entity Type is Person, then send Provider, Last Name.
If EDI Receivers, Extras tab, Entity Type is Non-Person, then look at the Practice Entity Type.
If Practice Information, Entity Type is Person, enter the name Last Name, First Name in the Practice Information, Practice Name field. The program pulls whatever is before the comma in NM103.
If Practice Information, Entity Type is Non-Person, send Practice Information, Practice Name.
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"If the Providers window, Provider IDs tab, Provider IDs grid entry Claim Type Individual button is selected, then send the Address tab, First Name field.
If the Providers window, Provider IDs tab, Provider IDs grid entry Claim Type Group button is selected, then do not create.
In either case, the appropriate grid entry is selected by the rules engine.
If EDI Receiver, Extras tab, Entity Type is Person, then send Provider, First Name.
If EDI Receivers, Extras tab, Entity Type is Non-Person, then look at the Practice Entity Type.
If Practice Information, Entity Type is Person, enter the name Last Name, First Name in the Practice Information, Practice Name field. The program pulls whatever is after the comma in NM104.
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"If the Providers window, Provider IDs tab, Provider IDs grid entry Claim Type Individual button is selected, then send the Address tab, Middle field if present.
If the Providers window, Provider IDs tab, Provider IDs grid entry Claim Type Group button is selected, then do not create.
In either case, the appropriate grid entry is selected by the rules engine.
If EDI Receiver, Extras tab, Entity Type is Person, then send Provider, Middle Initial.
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