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 qualifiers will indicate the non-NPI number being reported.
NUCC INSTRUCTIONS: Enter in the shaded area of 24I the qualifier identifying if the number is a non-NPI. The Other ID# of the rendering provider should be reported in 24J in the shaded area.
The NUCC defines the following qualifiers used in 5010A1:
- 0B State License Number
- 1G Provider UPIN Number
- G2 Provider Commercial Number
- LU Location Number
- ZZ Provider Taxonomy (The qualifier in the 5010A1 for Provider Taxonomy is PXC, but ZZ will remain the qualifier for the 1500 Claim Form.)
The above list contains both provider identifiers, as well as the provider taxonomy code. The provider identifiers are assigned to the provider either by a specific payer or by a third party in order to uniquely identify the provider. The taxonomy code is designated by the provider in order to identify his/her provider grouping, classification, or area of specialization. Both, provider identifiers and provider taxonomy may be used in this field.
The Rendering Provider is the person or company (laboratory or other facility) who rendered or supervised the care. In the case where a substitute provider (locum tenens) was used, enter that provider’s information here. Report the Identification Number in Items 24I and 24J only when different from data recorded in items 33a and 33b.
MEDICARE INSTRUCTIONS: Leave blank. Not required by Medicare.
Related Articles
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 ...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 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 ...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 ...