Submitter/Receiver Library

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The ‘Submitter/Receiver Library’ allows you to store data your payer or clearinghouse expects on each of your electronic claim submissions, such as file header information indicating your practice name, submitter ID, etc.  Contact your payer or clearinghouse for their specific Submitter/Receiver requirements.  

Library Entry Name – Required and will be displayed for selection when sending claims.

Export Format – Select which electronic format to be used for the selected payer.

Claim Type – Chargeable (CH) or Reporting (RP) only.  Default is Chargeable.  Select Reporting instead if your claims require RP in BHT06 of the ANSI file header. 

Submitter Information – All fields are required (except for first name if the submitter is a non-person).

•    Enter Type (Person or Non-Person)

•    Business Name or Last and First Name (If Type 2 was selected, First Name field will be grayed out.)

•    Submitter ID provided by payer or clearinghouse

•    Contact Name, Type and Phone Number, Email or Other. Note: Some payers require the Contact Name and Telephone number to be different from that found in the Billing Provider information on the claim. 

Receiver Information – Enter Receiver Name and Receiver ID number provided by your payer or clearinghouse.

Header Information – Not all fields are required.  Contact your payer or clearinghouse for their requirements. 

Test/Prod Indicator – Program default is ‘P’ for Production. Select ‘T’ if your payer or clearinghouse expects files sent in test mode instead. 

Strip extra characters from ID fields - Usually checked. 

Zip export file – Check only if required by your payer. Usually left unchecked.