The Agency table in SmartCare contains identifying information for the billing entity (the County).
The important columns for the claims generation process are:
The Agency Table | ||
Column Name | Description | 837 Location |
AgencyName |
| Loop 1000A (Submitter NM1*41) NM103 Submitter Last Name |
BillingContact | The name of the contact for the organization | Loop 1000A (Submitter) PER02 |
BillingPhone | A phone number to contact the organization | Loop 1000A (Submitter) PER04 |
PaymentAddress |
| Loop 2010AA (Billing Provider Name) N301 and N302 |
PaymentCity |
| Loop 2010AA (Billing Provider Name) N401 |
PaymentState |
| Loop 2010AA (Billing Provider Name) N402 |
PaymentZip |
| Loop 2010AA (Billing Provider Name) N403 |
NationalProviderId | 10 digit National Provider Id | Loop 2010AA (Billing Provider Name) NM109 |
TaxId | 9 digit Tax Id | Loop 2010AA REF*EI Segment REF02 |
For the PaymentAddress field, if a second address line is required, the lines should be separated by Char(13) and Char(10) (carriage return and line feed) characters.
The BillingPhone field may be formatted as a normal phone number. It will be automatically converted to the unformatted number required by the 837 implementation guide.