Field 17a - Other ID and 17b - NPI number
17a - The non-NPI ID number of the referring, ordering, or supervising provider is the unique identifier of the professional.
17b - The NPI number refers to the HIPAA National Provider Identifier number.
NUCC INSTRUCTIONS: 17a -The Other ID number of the referring, ordering, or supervising provider is reported in 17a in the shaded area. The qualifier indicating what the number represents is reported in the qualifier field to the immediate right of 17a.
The NUCC defines the following qualifiers used in 5010A1:
0B State License Number
1G Provider UPIN Number
G2 Provider Commercial Number
LU Location Number (This qualifier is used for Supervising Provider only.)
17b - Enter the NPI number of the referring, ordering, or supervising provider in Item Number 17b.
MEDICARE INSTRUCTIONS - 17a - Leave blank.
17b - Enter the NPI of the referring, ordering, or supervising physician or non-physician practitioner listed in item 17. All physicians and non-physician practitioners who order services or refer Medicare beneficiaries must report this data.
NOTE: Effective May 23, 2008, 17a is not to be reported but 17b MUST be reported when a service was ordered or referred by a physician.
Related Articles
Field 11 b - Other Claim ID
The “Other Claim ID” is another identifier applicable to the claim. NUCC INSTRUCTIONS: Enter the “Other Claim ID.” Applicable claim identifiers are designated by the NUCC. When submitting to Property and Casualty payers, e.g. Automobile, Homeowner’s, ...Field 1a - Insured's ID Number
Field 1a is the Insured's ID Number. This information identifies the insured to the payer. NUCC INSTRUCTIONS: Enter the insured’s ID number as shown on insured’s ID card for the payer to which the claim is being submitted. If the patient has a unique ...FIELD 25- Federal Tax ID Number
The “Federal Tax ID Number” is the unique identifier assigned by a federal or state agency. NUCC INSTRUCTIONS: Enter the “Federal Tax ID Number” (employer ID number or SSN) of the Billing Provider identified in Item Number 33. This is the tax ID ...FIELD 24I- ID Qualifier [lines 1–6]
If the provider does not have an NPI number, enter the appropriate qualifier and identifying number in the shaded area. There will always be providers who do not have an NPI and will need to report non-NPI identifiers on their claim forms. The ...FIELD 24J- Rendering Provider ID # [lines 1–6]
The individual performing/rendering the service should be reported in 24J and the qualifier indicating if the number is a non-NPI is reported in 24I. The non-NPI ID number of the rendering provider refers to the payer assigned unique identifier of ...