Technical Support

CLIA Numbers on Claims

There are several steps needed to have a CLIA number print on a claim. First create a Facility record for the in house lab. Second enter the word "CLIA" in the "Ins_Type" field of line one and the CLIA number in the "Id_Number" field. On the patient Ledger put a "P" in the "Lab_work" field and the facility code in the "Lab" field – in the transaction record for the charge or on page three of the Leger. If you put it on page 3, the CLIA nubmer will appear on all claims.

Here is a sample Facility record set up with the CLIA number:

Here is what a transaction record looks like with the information needed to get the CLIA on the paper or electronic claim:

Here is what Page 3 of the Ledger would look like to have the CLIA information automatically appear in the Transaction record and thus on the claim:

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This information is provided as a courtesy.  VersaForm Systems Corporation has provided this information "AS IS" without warranty of any kind – express or implied.  In no event shall VersaForm Systems Corporation be liable for any damages whatsoever including direct, indirect, incidental, consequential, loss of business profits or special damages.