In which field and Loop NPI will get printed CMS 1500 & UB 04 locator

In which field and Loop NPI will get printed CMS 1500 & UB 04 locator

How to submit NPI, TIN and taxonomy on a claim


The information below provides the location for NPI, TIN and Taxonomy on paper and electronic claims. See definitions in the UB-04 Data Specifications Manual.

HIPAA 837P (Professional) Claim Transaction

Primary identifier                         loop 2010aa, NM109 
Pay-To Provider Federal Tax id loop 2010aB, NM109 
Referring Physician                     loop 2310a, NM109 
Rendering Physician                   loop 2420a, NM109 HIPAA 837I (Institutional) Claim Transaction 
Billing Provider Primary id loop 2010aa, NM109 
Billing Provider Taxonomy loop 2000a, PRV03 
Billing Provider Secondary id (EiN) loop 2010aa, REF02 
attending Physician                    loop 2310a, NM109 
Operating Physician      loop 2310B, NM109 HICF 1500 (08-05) Professional Claim Form 
Referring Provider NPi Field 17b 
Rendering Provider NPi Field 24j 
Service Facility location NPi Field 32a 
Billing Provider NPi Field 33a 
Billing Provider legacy identifier Field 33b important: Make sure that your claim software supports the revised 1500 claim form (08-05) Reference the 1500 
Reference instruction Manual at nucc org for specific details on completing this form UB-04 Paper Institutional Claim Form 
Billing Provider NPi                             locator 56 
Billing Provider Taxonomy code      locator 81 
attending Provider NPi                     locator 76 
Operating Provider NPi                     locator 77 
Other Provider NPi                     locator 78-79 

How to submit NPI, TIN and taxonomy on a claim


The information below provides the location for NPI, TIN and Taxonomy on paper and electronic claims. See definitions in the UB-04 Data Specifications Manual.

HIPAA 837P (Professional) Claim Transaction

Primary identifier                         loop 2010aa, NM109 
Pay-To Provider Federal Tax id loop 2010aB, NM109 
Referring Physician                     loop 2310a, NM109 
Rendering Physician                   loop 2420a, NM109 HIPAA 837I (Institutional) Claim Transaction 
Billing Provider Primary id loop 2010aa, NM109 
Billing Provider Taxonomy loop 2000a, PRV03 
Billing Provider Secondary id (EiN) loop 2010aa, REF02 
attending Physician                    loop 2310a, NM109 
Operating Physician      loop 2310B, NM109 HICF 1500 (08-05) Professional Claim Form 
Referring Provider NPi Field 17b 
Rendering Provider NPi Field 24j 
Service Facility location NPi Field 32a 
Billing Provider NPi Field 33a 
Billing Provider legacy identifier Field 33b important: Make sure that your claim software supports the revised 1500 claim form (08-05) Reference the 1500 
Reference instruction Manual at nucc org for specific details on completing this form UB-04 Paper Institutional Claim Form 
Billing Provider NPi                             locator 56 
Billing Provider Taxonomy code      locator 81 
attending Provider NPi                     locator 76 
Operating Provider NPi                     locator 77 
Other Provider NPi                     locator 78-79 

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