RFI #
1360
837D 5010 Zip 4 workaround
Description
Is there an acceptable workaround if you are sending an Encounter transaction and only have a 5 digit ZIP code for a Billing Provider? Can the 5 digit ZIP code be padded with zeroes or with 9998? Also, we often deny claims, but still need to report them, when providers do not supply address information. In that case, is it acceptable to send a ZIP code like 999999999?
RFI Response
It is appropriate to use the “9998” in the last four digits of the zip code field; however, it is not acceptable to use zeros or 999999999.
DOCUMENT ID
005010X224A2