Tax ID Number & Number Type
What’s in the box?
This box is looking for the federal tax identification number and number type (either a Social Security Number or an Employer Identification Number). This is the tax identification number (TIN) for the entity to be paid for the submitted services (typically the billing provider).
❗ Note: this is one of the key pieces of information in a claim submission, as it helps the Insurer identify the billing provider. If it is incorrect or omitted, the claim will likely be delayed or rejected.
Where does this info live in Jane?
The Tax ID Number and Tax ID Type are set within a Staff Profile’s Billing tab, specifically within the Default Claim Information or an Insurance Specific Claim Information form.
The Tax ID Type you choose will determine which option will be checked on the CMS1500. Your tax number should only be 9 digits, and it should only include numeric characters (no need for dashes or other symbols).
Is this required?
This is a required field on the CMS1500.
This is a required when billing via EDI file.
What about the EDI file?
The Tax ID and Tax ID type are sent in Loop 2010AA - Billing Provider Info
- The Tax ID Type is sent in Loop 2010AA, Segment REF01.
- The Tax ID is sent in Loop 2010AA, Segment REF02.
These are the Tax ID Types with their qualifiers in brackets: EIN (EI), SSN (SY)