Table of Contents

Service Facility Override

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”

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