Billing Profile Setup: Claim.MD

Claim.MD Companion Guide

PLEASE NOTE - This guide provides General tab settings for Claim.MD, if you need assistance setting up information on the Submitter Contact or Billing Provider tabs, please contact the helpdesk.

ISA05 - ZZ

ISA06 - your Claim.MD account number

GS02 - your Claim.MD account number

1000B NM103 - CLAIMMD

ISA08 - CLAIMMD

GS03 - CLAIMMD

Provider Number Qualifier - N/A

Submitter Identifier - your Claim.MD account number

Omit Currency Segment in Loop 2000a - Check-marked

billprofile1.jpg
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