Which are you using? (e.g., eClinicalWorks, Epic, Trizetto)
Ensure the "Claim Format" setting is toggled to 5010 rather than the legacy 4010 .
Enter the 9 digits into your Practice Management (PM) system. Set 5010zip
Are you getting a ? (e.g., "Zip code must be 9 digits") Is this for Medicare or a private payer ?
Primarily found in the N403 segment of the 837 Professional or Institutional claim file. Which are you using
Inconsistencies between the ZIP code on file with the NPPES NPI Registry and the claim file can trigger audits. 🚀 Implementation Steps
If the last 4 digits are unknown, many systems use "9998" as a placeholder, though specific Payer Requirements may vary. ⚠️ Impact of Incorrect Settings Are you getting a
Verify all physical addresses have a verified +4 extension via the USPS Look-up Tool .