Effective August 1, 2013, we are implementing a ZIP code requirement for
ambulance service claims. Ambulance providers will be required to include ZIP
code information on all ambulance service claims submissions.
[
]Billing guidelines[
]
Please use the following guidelines based on how you submit claims for
ambulance services:
Electronic claims. If you bill electronically via HIPAA 5010, please include
both the pick-up and drop-off ZIP codes in the appropriate fields.
Paper claims. If you bill claims on paper, please include the pick-up ZIP code
in box 23 of the CMS-1500 form. The ZIP code is the only data element that
should be included in that field.
Please contact your Network Coordinator or Hospital/Ancillary Services
Coordinator if you have any questions about this requirement.