Knowledgebase: Practice Mate
Ambulance Claims (All Payers)
Posted by Will Morrow on 29 November 2013 12:43 PM
Below is updated information for submitting Ambulance Information on Non-837 (ANSI 5010 Upload) claims. Note that whenever available (in OLE/PM) the actual fields should be used instead of these 'workarounds'.

Ambulance Pick Up Location information can be submitted in Box 32. It would be output in Loop 2310E Ambulance Pick-Up Location when Office Ally transmits to the payer in 5010.

Ambulance Drop Off Location information can be submitted in either Box 19 or Line Notes (any line), but MUST be in the format below to be recognized by the system and moved into the appropriate database field. It would be output in Loop 2310F Ambulance Drop-Off Location when Office Ally transmits to the payer in 5010.

AMBD;NAME;ADDRESS1;ADDRESS2;CITY;STATE;ZIP

A ; (semi-colon) must be used between each piece of data.

AMBD - This code on the front of the note lets our system know that the information to follow is the Ambulance DropOff information
Name - Name of the Drop Off Location
Address1 - Street Address of the Drop Off Location (Required for this Loop)
Address2 - Additional Address of the Drop Off Location (e.g. Suite #, etc...)
City - City of the Drop Off Location (Required for this Loop)
State - State Code of the Drop Off Location (Required for this Loop)
Zip - Zip Code of the Drop Off Location (Required for this Loop)

Examples:

AMBD;VANCOUVER GENERAL HOSPITAL;12345 TEST STREET;SUITE 2;VANCOUVER;WA;99999 (All elements included)

AMBD;VANCOUVER GENERAL HOSPITAL;12345 TEST STREET; ;VANCOUVER;WA;99999 (If there is no Address 2 data, that there is still a ; listed with nothing in that spot)

AMBD; ;321 HOME STREET; ;VANCOUVER;WA;99999 (The Name is not required, as the Drop Off location could a non-Facility such as a patient's home)