Claim Forms: Rendering Provider - Box 24J and 31

Rendering Provider refers to the provider who conducts the sessions/provides the client care. The provider's name, NPI number and additional information can be filled in.

To add a new provider's information into Healthie, including their NPI number, a CMS claim needs to be created first, and then will autofill in the future (select the rendering provider from the drop-down in the future).

On the claim form Rendering Provider will populate into Box 24J into the corresponding NPI field (or Box 24I and Box 24J if other ID Qualifier was provided)

Additionally, Box 31 on the claim form will be populated with the Rendering Provider's name and qualifications. 

Best Practices

• Rendering Provider does not always correspond to who will be reimbursed for the claim. Billing Provider indicates who will be reimbursed for services. 
• If you use Office Ally, you may want to avoid including both NPI number and qualifier numbers for a rendering provider, as some of our providers have reported claims being denied in these cases.