FIELD 33, 33a, AND 33b- Billing Provider Info & Phone Number
The billing provider’s or supplier’s billing name, address, ZIP code, and phone number is the billing office location and telephone number of the provider or supplier.
NUCC INSTRUCTIONS: Field 33 -Enter the provider’s or supplier’s billing name, address, ZIP code, and phone number. The phone number is to be entered in the area to the right of the field title. Enter the name and address information in the following format:
1st Line – Name
2nd Line – Address
3rd Line – City, State and ZIP code
Item 33 identifies the provider that is requesting to be paid for the services rendered and should always be completed.
Do not use punctuation (i.e., commas, periods) or other symbols in the address (e.g., 123 N Main Street 101 instead of 123 N. Main Street, #101). Enter a space between town name and state code; do not include a comma. Report a 9-digit ZIP code. Enter the 9-digit ZIP code without the hyphen. Do not use a hyphen or space as a separator within the telephone number.
If reporting a foreign address, contact payer for specific reporting instructions.
5010A1 requires the “Billing Provider Address” be a street address or physical location. The NUCC recommends that the same requirements be applied here.
FIELD 33a - Enter the qualifier identifying the non-NPI number followed by the ID number. Do not enter a space, hyphen, or other separator between the qualifier and number.
The NUCC defines the following qualifiers used in 5010A1:
0B State License Number
G2 Provider Commercial 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.er the NPI number of the billing provider in 33a.
FIELD 33b - Enter the qualifier identifying the non-NPI number followed by the ID number. Do not enter a space, hyphen, or other separator between the qualifier and number.
The NUCC defines the following qualifiers used in 5010A1:
- 0B State License Number
- G2 Provider Commercial 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.
MEDICARE INSTRUCTIONS:
Item 33 - Enter the provider of service/supplier's billing name, address, ZIP code, and telephone number. This is a required field.
Item 33a - Enter the NPI of the billing provider or group. This is a required field.
Item 33b - Item 33b is not generally reported. However, for some Medicare policies you may be instructed to use this item; direction as to how to use this item will be in the instructions you received regarding the specific policy, if applicable.
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