Community First Health Plans is providing guidance on the correct reporting of Servicing Facility Location information on professional claims submitted using the 837P electronic claim format. Accurate reporting of the servicing facility is required when services are rendered at a location different from the billing Provider’s address and is necessary to support proper claim adjudication.
Effective August 1, 2026, claims that do not include required servicing facility information, when applicable, may be rejected.
When Servicing Facility Reporting Is Required
Servicing facility information must be reported only when both of the following apply:
- Services were rendered at a location different from the billing Provider’s address, and
- Identification of the servicing facility is required for accurate claims processing.
If services are rendered at the billing Provider’s address, the servicing facility loop should not be populated.
How to Report the Servicing Facility (837P Claims)
When submitting professional claims electronically using the 837P format, Providers must report servicing facility information in the Service Facility Location loop (Loop 2310C), as outlined below.
837P Technical Requirements – Loop 2310C
| Segment/Element | Value | Description |
|---|---|---|
| NM101 | 77 | Entity Identifier (Service Location) |
| NM103 | Name | Full legal name of the servicing facility |
| NM109 | NPI | Servicing facility NPI is required and must be enrolled in the Provider Enrollment Management System (PEMS) or NPPES. Missing NPI will result in a claim rejection |
| N3 Segment | Street Address | Physical address (No P.O. Boxes) |
| N4 Segment | City/State/ZIP | Must include 9-digit ZIP code (ZIP+4) |
Claims submitted without all required elements in Loop 2310C, when applicable, will be rejected.
Important Reminders
- The servicing facility loop should only be populated when appropriate.
- The NPI submitted must belong to the facility where services were rendered, not the billing Provider.
- Claims submitted without a valid 9-digit ZIP code in Loop 2310C may be rejected.
When services are rendered at a location other than the billing Provider’s address, accurate servicing facility reporting on 837P claims is required. Claims that do not meet these requirements may be rejected.
Action Required
Providers are encouraged to review current claim submission processes and ensure servicing facility information is reported correctly when applicable. Work with your clearing house or billing vendor to confirm compliance with these requirements.
Providers are encouraged to share this information with their staff. If you have any questions about this notice, please email Provider Relations at ProviderRelations@cfhp.com or call 210-358-6030. You can also contact your Provider Relations Representative directly.
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