In our previous installment of medical billing, we went over the YA0 batch trailer record in detail. In this installment we finally reach the end of our NSF 3.01 record specifications review with coverage of the ZA0, or file trailer record.
The ZA0 record is the last record in the whole claims file. It goes at the very end after the last YA0 record for the last batch. If it does not fall at the end of the file or does not show up at all, the whole claim file will be denied. We'll be covering the individual fields of the ZA0 record in this final installment.
ZA0 field 1, positions 1 - 3, is the record type. This must be filled with ZA0 or the whole claim file will be denied by the carrier.
ZA0 field 2, positions 4 - 19, is the submitter ID. This is different from the provider ID as it is the agency responsible for transmission of the claims. It is possible for the provider and submitter to be the same person.
ZA0 field 3, positions 20 - 28, is reserved and not supported.
ZA0 field 4, positions 29 - 44, is the receiver ID. This is the ID of the carrier who is going to be receiving the claims. This is required so that when the carrier receives the file they'll know whether or not that file was in fact meant for them. Stranger things have happened.
ZA0 field 5, positions 45 - 51, is the FA0 line item count. This field tells the carrier the total number of FA0 records in the whole file.
ZA0 field 6, positions 52 - 58, is the record count. This field tells the carrier the total number of records being transmitted in the whole file.
ZA0 field 7, positions 59 - 65, is the CA0 record count. This field tells the carrier the total number of CA0 records, or total patients, being transmitted in the whole file.
ZA0 field 8, positions 66 - 69, is the YA0 batch count. This field tells the carrier the total number of YA0 records, or batches there are in the whole claim file.
ZA0 field 9, positions 70 - 80, is the total claim charges. This field tells the carrier the total number of claim charges in the whole claim file for all batches.
ZA0 field 10, positions 81 - 91, is the total amount paid. This field tells the carrier the total amount paid on all claims submitted. This field is particularly important to the carrier so they can track claims already paid.
ZA0 field 11, positions 92 - 102, is the total amount allowed. This field tells the carrier out of all charges billed, what amount is allowed to be paid.
ZA0 field 12, positions 103 - 320, is filler national and must be filled with spaces or the whole claim file will be denied.
This is the final installment on medical billing of claims electronically, concentrating on the individual NSF 3.01 record specifications.
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