Since January 1st, 2012 it is no longer acceptable to send a P.O. Box as your billing address on insurance or government claims. It is required by all insurance and government claims that a physical street address be used as your billing address.
But what if I want payment to go to my P.O. Box?
You can indicate on an electronic claim that you wish the payer to send payment to a different address other than the billing address using a loop in the EDI claim called the Pay to Address. This loop is only on electronic claims, that is, there is no corresponding box on the CMS-1500 claim form. To enter a Pay to Address to go out on your EDI (electronic) claims you can do the following.
- Log in to your administrative login in Therabill.
- Put your mouse over Admin in the top green navigation bar and click on Member Info in the sub-navigation bar.
You now see your billing provider information. This is the name and address that goes out as your billing provider address on your claim forms by default. One of the options in the member info is an option called the Pay to Address. There should be a link next to it that may read "Same as billing" (unless you have already set up a different address). Click that link to change the address. What you enter here will go out in a separate section on the EDI claim in a loop called the Pay to Address. Your physical street address will still go out as your billing address.
This does not change paper claims. Your physical street address (billing address) will still show up on Box 33. If you know that the insurance company you are submitting to allows you to put a PO Box in Box 33 of the CMS-1500 when you print it, you can follow these instructions to make the pay to address show up as the billing address on the printed CMS-1500: PO Box in Box 33 of CMS-1500. Be careful though, these may cause rejections or denials if the payer does not allow a PO Box in Box 33.