The numbers entered in Other Prv. ID. should align with the corresponding payer indicated in which field?

The numbers entered in Other Prv. ID. should align with the corresponding payer indicated in which field?

• A. Health Plan ID
• B. Prior payments
• C. Payer Name
• D. NPI

Answer: (C)

When you have information for an additional payer on the UB-04, the number in Other Prv. ID. must correspond to the payer shown in the Payer Name field. The Payer Name identifies which payer is being referenced, and the Other Prv. ID. is the identifier that payer uses for this provider. Aligning these two ensures the claim is routed and paid by the correct payer. The Health Plan ID is a different identifier, not the field used for this linkage, and the NPI is the provider’s own identifier, not the payer’s, while prior payments isn’t a payer identifier.

When you have information for an additional payer on the UB-04, the number in Other Prv. ID. must correspond to the payer shown in the Payer Name field. The Payer Name identifies which payer is being referenced, and the Other Prv. ID. is the identifier that payer uses for this provider. Aligning these two ensures the claim is routed and paid by the correct payer. The Health Plan ID is a different identifier, not the field used for this linkage, and the NPI is the provider’s own identifier, not the payer’s, while prior payments isn’t a payer identifier.