Box 33 of the CMS 1500 form. This information derives from the selected employees’s Claims Settings area in the contact. Provides the billing provider’s name, address, NPI, EIN, and the phone number.
Claims / Settings / Default Settings Facility: Box 32
Box 32 of the CMS 1500 form. This information derives from the selected employee’s Claims Settings area in the contact. Provides the name, address, NPI, and the phone number of the facility/location in which the service was provided.
Claims / Settings / Default Settings Provider/Supplier: Box 31
Box 31 of the CMS 1500 form. This information derives from the selected employee’s Claims Settings area in the contact. Provides the name of the physician or supplier and NPI.
Claims / Settings / Default Settings Referring: Box 17
Box 17 of the CMS 1500 form. This information derives from the selected employee’s Claims Settings area in the contact. Provides the referring provider’s name and the NPI number.