Create Professional or Institutional Service Line

The total amount charged for this service line, factoring in quantity. The system will attempt to set it based on the chargemaster configuration and the service line’s quantity. For example, if a single unit has an entry of 100 cents and 2 units were rendered, the charge_amount_cents will be set to 200. If there is no chargemaster entry, the system will default to the amount set via this field.

Box 24B on the CMS-1500 claim form. Line-level place of service is not currently supported. 02 for telemedicine, 11 for in-person. Full list here: https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set

String representation of a Decimal that can be parsed by most libraries.

A free-form description to clarify the related data elements and their content. Maps to SV1-01, C003-07 on a 837-P and SV2-02, C003-07 on a 837-I form.

Maps to SV1-11 on the 837-P and Box 24H on the CMS-1500. If the value is true, the box will be populated with "Y". Otherwise, the box will not be populated.

Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500. If the value is true, the box will be populated with "Y". Otherwise, the box will not be populated.

Maps to NTE02 loop 2400 on the EDI 837.

Represents and preserves the custom CPT code received on this service line. Custom CPT codes are specific to your organization and are primarily used for rules and reporting purposes.

A 4 digit code that specifies facility department or type of service arrangement for institutional service line items (837i). This code is not required for professional claim billing (837p).

Pass null to create the service line as uncoded, which is valid for institutional (837i) claims that bill by revenue code rather than a CPT/HCPCS code.

Prior authorization number for this service line. Maps to the appropriate REF segment on Loop 2400 of the EDI 837p. This is not used for institutional claims (EDI 837i).

An external identifier for this service line. This is not used in the EDI 837, but can be used to identify the service line in external systems. This field should not contain PHI. Must be unique on a given claim.

Box 24B on the CMS-1500 claim form. Line-level place of service is not currently supported. 02 for telemedicine, 11 for in-person. Full list here: https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set

Box 24B on the CMS-1500 claim form. Line-level place of service is not currently supported. 02 for telemedicine, 11 for in-person. Full list here: https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set

Represents and preserves the custom CPT code received on this service line. Custom CPT codes are specific to your organization and are used for rules and reporting purposes.

A 4 digit code that specifies facility department or type of service arrangement for institutional service line items (837i). This code is not required for professional claim billing (837p).

String representation of a Decimal that can be parsed by most libraries.

A free-form description to clarify the related data elements and their content. Maps to SV1-01, C003-07 on a 837-P and SV2-02, C003-07 on a 837-I form.

Maps to SV1-11 on the 837-P and Box 24H on the CMS-1500. If the value is true, the box will be populated with "Y". Otherwise, the box will not be populated.

Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500. If the value is true, the box will be populated with "Y". Otherwise, the box will not be populated.

Maps to NTE02 loop 2400 on the EDI 837.

Prior authorization number for this service line. Maps to the appropriate REF segment on Loop 2400 of the EDI 837p. This is not used for institutional claims (EDI 837i).

An external identifier for this service line. This is not used in the EDI 837, but can be used to identify the service line in external systems. This field should not contain PHI. Must be unique on a given claim.