====== Place of Service Override ======

Override the place of service (POS) code on claims. Optionally filter by CPT codes and original POS value.

**Applies to:** Professional (837P), Dental (837D)

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===== When to Use This =====

  * Telehealth claims need POS changed from 11 (Office) to 02 (Telehealth) or 10 (Telehealth in Patient Home)
  * A payer requires a specific POS for certain procedure codes
  * Your source system sends the wrong POS and you need to correct it before submission

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===== Fields =====

^ Field ^ Required ^ Description ^
| Start Date | Yes | When this rule becomes active |
| End Date | No | When this rule expires |
| Payer Number | No | Only apply for a specific payer. Blank = all payers |
| CPT Codes | No | Comma-separated CPT codes. Only override POS on claims with these codes. Blank = all claims |
| Original Place of Service | No | Only override if the current POS matches this value. Blank = override regardless of current POS |
| New Place of Service | Yes | The new 2-digit POS code to set |
| Notes | No | Your reference notes |

==== Common POS Codes ====

^ Code ^ Description ^
| 02 | Telehealth Provided Other than in Patient's Home |
| 10 | Telehealth Provided in Patient's Home |
| 11 | Office |
| 12 | Home |
| 21 | Inpatient Hospital |
| 22 | On Campus - Outpatient Hospital |
| 23 | Emergency Room - Hospital |
| 31 | Skilled Nursing Facility |
| 81 | Independent Laboratory |

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===== Examples =====

=== Example 1: Telehealth POS Correction ===

All telehealth E/M codes for Aetna should be POS 02 instead of 11.

^ Field ^ Value ^
| Payer Number | 60054 |
| CPT Codes | 99211,99212,99213,99214,99215 |
| Original Place of Service | 11 |
| New Place of Service | 02 |

=== Example 2: Blanket POS Override ===

A payer requires POS 11 on all claims regardless of what's sent.

^ Field ^ Value ^
| Payer Number | 00621 |
| New Place of Service | 11 |

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===== What Happens on the Claim =====

  - Reads the current POS from the CLM segment (element 5, sub-element 1) in Loop 2300
  - If Original Place of Service is set, only changes it if the current value matches
  - Sets the new POS value
  - A note is added documenting the change
  - Shows in Applied Validation Modules as "PlaceOfServiceOverrideModule"

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