====== Service Facility Override ====== Override or add the service facility (Loop 2310C) on claims for specific payers. **Applies to:** Professional (837P), Dental (837D) ---- ===== When to Use This ===== * A payer requires a specific service facility NPI and address on all claims * The source system doesn't populate the service facility and a payer rejects without it * You need to override the facility for a specific payer while keeping it different for others ---- ===== 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 | | Facility NPI | Yes | The service facility's NPI | | Facility Name | Yes | The facility name | | Address 1 | No | Street address. Leave blank to skip address | | Address 2 | No | Suite, floor, etc. | | City | No | City | | State | No | 2-letter state code | | Zip | No | Zip code | | Notes | No | Your reference notes | ---- ===== Examples ===== === Example 1: Add Facility for Medicare === Medicare requires a service facility on all professional claims. ^ Field ^ Value ^ | Payer Number | 00882 | | Facility NPI | 1234567890 | | Facility Name | MAIN STREET MEDICAL CENTER | | Address 1 | 100 MAIN ST | | City | TULSA | | State | OK | | Zip | 74103 | === Example 2: Override Facility for Specific Payer === Cigna requires claims to show a different facility NPI. ^ Field ^ Value ^ | Payer Number | 62308 | | Facility NPI | 9876543210 | | Facility Name | CIGNA PREFERRED FACILITY | ---- ===== What Happens on the Claim ===== - If Loop 2310C (Service Facility) already exists, it is updated with the new NPI, name, and address - If Loop 2310C does not exist, it is created and inserted into the claim - Address segments (N3, N4) are only modified if address fields are provided - A note is added to the claim documenting the change - Shows in Applied Validation Modules as "ServiceFacilityOverrideModule" ---- **[[guides:claim-rules|← Back to Claim Rules Engine]]**