Group NPI and 33B Forced Exceptions

Group NPI and 33B Forced Exceptions

Here is the logic around these fields: 

Group Taxonomy code for Box 33B in below case is being picked from Settings > Account  > Group Taxonomy code in paper claim 

1. If Group Taxonomy code is blank in Forced exception, it goes to next level and pick from Settings > Account > Group Taxonomy code and shows in paper claim. 
2. If Group Taxonomy code is present in 'Forced exception', the forced exception will override the Settings > Account > Group Taxonomy code and will show up in the paper claim. 

So, in this case if Taxonomy code is to be shown only for few of the combinations criteria then that has to be defined in 'Forced exception' and settings > Account > Forced exception field should be left blank. 

**** If you are not wanting to use the above workflows then, you could add in a paper claim edit that is payer. Please let us know if you have any additional questions or concerns.
    • Related Articles

    • How to Add a Forced Exception

      Note: You must be an "Account Manager" user in ProviderSuite to perform this task. If you do not have access to the Setup tab in the ProviderSuite, please forward these instructions to another user with Account Manager permissions.  To add a Forced ...
    • Forced Exception by Provider or Facility for Paper Claims Only Video

      Forced Exception by Provider or Facility 
    • Delete a Forced Exception

      NOTE: You must be an "Account Manager" user in ProviderSuite to perform this task. If you do not have access to the Setup tab in the ProviderSuite, please forward these instructions to another user with Account Manager permissions. To delete a Forced ...
    • How to Add a Forced Exception

      Note: You must be an "Account Manager" user in ProviderSuite to perform this task. If you do not have access to the Setup tab in the ProviderSuite, please forward these instructions to another user with Account Manager permissions.  To add a Forced ...
    • Forced Exception by Provider or Facility for Paper Claims Only Video

      Forced Exception by Provider or Facility for Paper Claims Only