How to Enter a CLIA Number on a Claim
1. To enter a CLIA (Clinical Laboratory Improvement Amendments) number for a clinician, click on the Settings + Directories drawer from the Chart Room filing cabinets on the right.
2. As a group administrator, find the clinician's name and click on it.
3. The CLIA # field will display so that you can enter the number for that clinician.
When one of a number of substance abuse-related CPT codes is entered as the first code in the billing list for an encounter, the CLIA # will pull to that claim (box 23 in the HCFA/CSM 1500 and ANSI 837 Loop 2300 REF02).
The following codes trigger this:
| 80201 | 80302 | 80305 | 80306 | 80307 |
80320 |
80321 | 80322 | 80323 | 80324 |
| 80325 | 80326 | 80327 | 80328 | 80329 | 80330 | 80331 | 80332 | 80333 | 80334 |
| 80335 | 80336 | 80337 | 80338 | 80339 | 80340 | 80341 | 80342 | 80343 | 80344 |
| 80345 | 80346 | 80347 | 80348 | 80349 | 80350 | 80351 | 80352 |
80353 |
80354 |
| 80355 | 80356 | 80357 | 80358 | 80359 | 80360 | 80361 | 80362 | 80363 | 80364 |
| 80365 | 80366 | 80367 | 80368 | 80369 | 80370 | 80371 | 80372 | 80373 | 80374 |
| 80375 | 80376 | 80377 | 81125 | 81126 | 81225 | 81226 | 81227 | 81229 | 81401 |
| 81401 | 81479 | 8 |
Common Questions
Problem: How to Enter a CLIA Number on a Claim.
Solution: Follow the steps below to resolve quickly.
- Check prerequisites and permissions.
- Follow the configuration steps.
- Verify the result and retry if needed.
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