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Patient Control Number

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13 comments

  • Gillian

    Hi Rosa, I'd be happy to help. Can you clarify what you need this number for? Are you possibly referring to the Payer Control Number, which can be found on each individual claim after it's been accepted by the payer?

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  • Mary Ann Green

    I am in need of this information as well.  I specifically need the Patient Control Number, NOT payer.  I see it described as "the internal number the provider office uses to identify the patient in the office's billing records and computer system."  Can anyone help??

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  • Gillian

    Hi Mary, you can include a Patient Identification Number in the Billing and Insurance section under Edit Details. This auto-populates into box 26. 

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  • Amber Althoff

    Is there a way to have that URL # prepopulate in box 26 on a HCFA 1500 Form? 

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  • Gillian

    Hi Amber, I'm updating this post - you can now include a Patient Identification Number in the Billing and Insurance section under Edit Details. This auto-populates into box 26. 

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  • April D. Lincoln

    Where is the payer control number located?

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  • Gillian

    Hi April, can be found on each individual claim after it's been accepted by the payer. You can find and review your claims under Billing > Insurance > Claims. 

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  • Heather Ryan

    I am not able to get box #26 to auto populate. even after I have saved that patient control number under billing  insurance and " show additional fields"  and i put it into client account number. I use to be able to manually put it into box #26 when editing a claim but it won't allow me now or populate on its own. can u help me out

     

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  • Gillian

    I'm happy to clarify this.

    Box 26, which populates the Patient's Account Number, is a unique box because it isn't a required field. Our clearinghouse has always changed the data in this field before submitting the claim to the payer electronically.

    Recently, our clearinghouse has made this box uneditable to reflect that. Payers require different information in that field for claims filed electronically, as opposed to claims filed by mail or through their payer portals. Since our claims go through a clearinghouse electronically, this box isn't required and claims submitted through our system are being filed and paid successfully without this box.

    With this in mind, please try to submit your claims with Box 26 left blank. If for any reason the claim gets rejected or denied because of Box 26, please reach out to us immediately. Our clearinghouse can review the claim with the payer. If the claim is denied, please upload the Explanation of Benefits (EOB) onto the client's profile and our clearinghouse can review the exact denial reason with the payer. This guide can show you how to upload documents onto a client's profile if needed: Storing client documents.

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  • Jessica C. Vann

    If I am understanding correctly the Patient Control Number is only created AFTER the claim is submitted and accepted by the payer. For this particular payer, I am being told to submit in Avility, which requires this number. How do I go about getting that IF I am NOT submitting a claim (to be accepted by the payer) in this system?

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  • Ruth

    Hi Jessica, you'd want to reach out to Availity to find out how to successfully fill out and submit claims through their portal. Our clearinghouse auto-populates this field when customers electronically submit claims through SimplePractice. We can't assign a Patient Control Number for claims that aren't processed through our system. 

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  • Jennifer Dulchavsky

    I have claims that I print and send in and need to populate box 26 -  I have several rejected claims and need to get this issue fixed - how can I manually populate Box 26.  

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  • LaCheryl Tucker-Harkins, MA, LPC, CAMS-II

    All of my claims are being rejected because Simple Practice does not provide a patient control number.  How do I create or find one for my clients?  Please help ASAP!

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