Rendering Provider Field Added for Institutional Charges

What’s New

• New Rendering Provider field added to the Institutional Charge page

• Allows users to search and select a rendering provider

• Validates provider details including Name and NPI

• Rendering provider information is now passed to the EDI layer (Loop 2420C)

• Field is available only for Institutional (UB04) charges

• Field is optional and does not impact existing workflows

How It Works 

• Navigate to Patient > Billing > Charges.
• Open or edit an Institutional (UB04) charge.
• Locate the Rendering Provider field.
• Search and select a provider.
• The system validates:
  • Provider Name
  • NPI
  • Active status
• Save the charge.
• The selected rendering provider is stored at the charge level and included in claim submission (Loop 2420C)..

Benefits

• Enables accurate representation of non-physician providers in institutional claims

• Reduces claim rejections (e.g., Error Code 34963 – Name does not match PECOS)

• Improves billing accuracy and compliance with EDI requirements

• Provides flexibility in assigning providers at the charge level

• Enhances claim submission success rates without impacting existing data