You cannot use P.O. Boxes on the "Billing Provider address" but you can still use them as a "Payto Address". There are fields in the 5010 to allow for BOTH addresses. The software/EDI vendor must map these in the correct fields in 5010 in order for them not to reject.
Q: I understand the billing address canâ€™t be a P.O. Box or Lockbox number. Please confirm if the Pay To/Remit address can continue to be a P.O. or Lockbox number and does that address have to match the NPI registry?
A: The pay-to-address can be a P.O. Box. At this time, the EDI front end will not be running a match of the submitted address to the NPI registry.
Q: We know that the 2010AA Billing Provider address must be a physical address and not a P.O. Box. When the electronic claims come in the front door of the A/B MACs, will the A/B MACs validate the address with what is on file at Medicare customer service/provider relations? For example, if a provider sends â€ś123 Any Streetâ€ť on their claim but they are actually enrolled with Medicare as â€ś123 Any Place Avenueâ€ť, must there be an exact match on the address before the claims will pass EDIâ€™s edit? Or is EDI not going to be that specific and will just looking to see if the address contains P.O. Box, if so then reject?
A: At this time, the front end system will only be looking for the presence of "P.O. Box" or "Lock Box" in its many different forms. Claims that contain "Post Office Box", "P.O. Box", "P.O. Box", "P.O. Box", "Lock Box", "Lock Bin" as the address in 2010AA will be rejected.
Laura Davis, CPC, CPC-P
Claims Manager, Select Administrative Services
(Previously: 2013 Treasurer, 2012 Education, 2011 President Elect of Biloxi, MS Chapter)