BA0 Record Entry Field Locations

Provider Data 1 (Batch Header)

Number Position Field Name Data Entry Screen
01 1-3 Record Type (Auto Filled)
02 4-18 Provider ID Setup > Lookup Lists > Carriers > [Change] > ECS tab > Practice Provider ID
  or
Setup > Lookup Lists > Carriers > [Change] > Claims tab > Preferred ID Preference
  or
Setup > Preferences > Provider Preferences > [Change] > ID Numbers tab > (1) NPI or (2) UPIN
03 19-21 Batch Type Setup > Preferences > Provider Preferences > [Change] > Claims tab > Batch Type
  and
Billing > Electronic Claims Receivers >Generator Options button > Practice Provider tab > Batch Type
04 22-25 Batch Number (Auto Filled)
05 26-31 Batch ID (Auto Filled)
  or
Setup > Lookup Lists > Carriers > [Change] > ECS tab > Override Batch ID
06 32-40 Provider Tax ID Setup > Preferences > Practice Preferences > General tab > Employer ID Number or Social Security Number
  and
Setup > Preferences > Provider Preferences > [Change] > General tab > Social Security Number or Employer ID Number
07 41-46 Reserved (Not Supported)
08 47 Provider Tax ID Type Setup > Preferences > Provider Preferences > [Change] > General tab > Provider is personally incorporated
  and
Setup > Lookup Lists > Carriers > [Change] > Claims tab > Preferred Tax ID
09 48-62 Provider Medicare Number Setup > Preferences > Provider Preferences > [Change] > Misc tab > ID Numbers button > Medicare Provider Number
  and
Setup > Lookup Lists > Carriers > [Change] > ECS tab > Medicare
10 63-68 Provider UPIN Setup > Preferences > Provider Preferences > [Change] > Misc Tab > ID Numbers Button > Unique Supplier ID
11 69-74 Reserved (Not Supported)
12 75-89 Provider Medicaid Number Setup > Preferences > Provider Preferences > [Change] > Misc tab > ID Numbers button > Medicaid Provider Number
  and
Setup > Lookup Lists > Carriers > [Change] > ECS tab > Medicaid
13 90-104 Provider CHAMPUS Number Setup > Preferences > Provider Preferences > [Change] > Misc tab > ID Numbers button > CHAMPUS Provider Number
  and
Setup > Lookup Lists > Carriers > [Change] > ECS tab > CHAMPUS
14 105-119 Provider Blue Shield Number

Setup > Preferences > Provider Preferences > [Change] > Misc Tab > ID Numbers button > Blue Shield Provider Number
  and
Setup > Lookup Lists > Carriers > [Change} > ECS tab > Blue Shield
15 120-134 Provider Commercial Number Setup > Preferences > Provider Preferences > [Change] > Misc Tab > ID Numbers button > Commercial Number
  and
Setup > Lookup Lists > Carriers > [Change] > ECS tab > Commercial
16 135-149 Provider Other Number 1 Setup > Preferences > Provider Preferences > [Change] > Misc Tab > ID Numbers button > Other Provider Number 1
  and
Setup > Lookup Lists > Carriers > [Change] > ECS tab > Other 1
17 150-164 Provider Other Number 2 Setup > Preferences > Provider Preferences > [Change] > Carrier Options tab > ID Numbers button >
  and
setup > Preferences > Provider Preferences > [Change] > Misc Tab > ID Numbers button > Other Provider 2
  and
Setup > Lookup Lists > Carriers > [Change] > ECS tab > Other 2
18 165-197 Provider Organization Name Setup > Preferences > Practice Preferences > General tab > Name
  and
Setup > Preferences > Practice Preferences > Remittance tab > Name
19 198-217 Provider Last Name Setup > Preferences > Provider Preferences > [Change] > General tab > Last Name
  and
Billing > Electronic Claims Receivers > Generator Options button > Practice Provider tab > Last Name
20 218-229 Provider First Name Setup > Preferences > Provider Preferences > [Change] > General tab > First Name
  and
Billing > Electronic Claims Receivers > Generator Options > Practice Provider tab > First Name
21 230 Provider Middle Initial Setup > Preferences > Provider Preferences > [Change] > General tab > MI
  and
Billing > Electronic Claim Receivers > Generator Options button > Practice Provider tab > Middle Initial
22 231-233 Provider Specialty Setup > Preferences > Provider Preferences > [Change] > General tab > Specialty Code
  and
Billing Electronic Claims Receivers > Generator Options button > Practice Provider tab > Specialty Code
23 234-248 Specialty License Number Setup > Preferences > Provider Preferences > [Change] > General tab > Specialty License
  and
Billing > Electronic Claims Receivers > Generator Options button > Practice Provider tab > Specialty License
24 249-263 State License Number Setup > Preferences > Provider Preferences > [Change] > General tab > State License
  and
Billing > Electronic Claims Receivers > Generator Options button > Practice Provider tab > State License
25 264-278 Dentist License Number (Not Supported)
26 279-293 Anesthesia License Number Billing > Electronic Claims Receivers > Generator Options button > Practice Provider tab > Anesthesia License
27 294 Provider Participation Indicator Setup > Preferences > Provider Preferences > [Change] > General tab > Medicare Participating Provider
  and
Setup > Lookup Lists > Carriers > [Change] > General tab > Practice is a participating provider
28 295-320 Filler - National (Not Supported)
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