What goes in box 32b on CMS-1500?
Asked by: Dr. Trenton Connelly | Last update: November 30, 2025Score: 4.7/5 (34 votes)
What is the 32 B in claim form?
Box 32b is used to indicate the non-NPI identification number of the service facility as assigned by the payer for the facility. Enter the 2-digit qualifier followed by the ID number.
What is box 32 in CMS 1500?
32 Required Service Facility Location Information - Enter the provider name. Enter the provider address, without a comma between the city and state, and a nine-digit zip code, without a hyphen. Enter the telephone number of the facility where services were rendered, if other than home or office.
What NPI goes in box 32?
Box 32a is used to indicate National Provider Identifier number of the Service Facility. Only report a Service Facility NPI when the NPI is different from the Billing Provider NPI.
What should be in box 33B on a CMS 1500?
Box 33B: By default, this box will remain blank; however, if a particular payer wants to see a separate provider ID number in that box, you can add it, by the provider, for that particular payer.
CMS 1500 claim form Box 32, Description/Details/Explanation
What goes in Box 32 A & B HCFA?
Box 32a: If required by Medicare claims processing policy, enter the National Provider Identifier (NPI) of the service facility. Box 32b: If required by Medicare claims processing policy, enter the legacy Provider Identification Number (PIN) of the service facility preceded by the ID qualifier 1C.
What does Box 33 in CMS 1500 form represent?
33. Billing Provider Information & Phone Number – name, address, and phone number of provider requesting to be paid for services rendered. Billing provider address on both a CMS 1500 and UB must be the physical location; not a PO Box.
What goes in box 32 for telehealth?
Box 32 on Medicare and Medicaid reimbursement forms is critical when billing for telehealth services, as it captures the "service facility location information" — aka where the place where the service is rendered.
What goes in box 31 on CMS 1500?
Not required by Medicare. Item 31 - Enter the signature of provider of service or supplier, or his/her representative, and either the 6-digit date (MM | DD | YY), 8-digit date (MM | DD | CCYY), or alpha- numeric date (e.g., January 1, 1998) the form was signed.
What is the difference between rendering provider and supervising provider?
The Rendering Provider does not include individuals performing services in support roles, such as lab technicians or radiology technicians. The Supervising Provider is the individual who provided oversight of the Rendering Provider and the care being reported.
What is Block 33 of the CMS 1500?
BLOCK 33 PROVIDER NAME, ADDRESS AND ZIP CODE (MANDATORY)
Enter the billing provider's name and facility address as shown on the SD MEDX Enrollment record.
Can box 33 on CMS 1500 be a po box?
Will a P.O Box number be allowed in box 33 of the 1500 form? A: Yes, the paper 1500 form is not subject to HIPAA compliance restrictions.
What goes in box 23 on a CMS 1500?
Box 23 - TITLE: Prior Authorization Number (this field is also used for CLIA numbers) • INSTRUCTIONS: Enter any of the following: prior authorization number, referral number, or Clinical Laboratory Improvement Amendments (CLIA) number, as assigned by the payer for the current service.
What is field 32 in CMS 1500 claim form?
The name and address of facility where services were rendered identifies the site where service(s) were provided. NUCC INSTRUCTIONS: Enter the name, address, city, state, and ZIP code of the location where the services were rendered.
What loop is box 32?
Loop 2310C, Segment NM103 (Name), N301 (Street Address), N401 (City), N402 (State), N403 (ZIP Code).
What should be in box 32b on CMS 1500?
Box 32b is used to indicate the non-NPI number of the service facility as assigned by the payer for the facility. Enter the 2-digit qualifier followed by the ID number. The following qualifiers can be used: 0B - State License Number.
Is it possible to submit electronic claims in batches?
Electronic Claims can be submitted in a single batch. To batch submit claims, navigate to Insurance > Pending Claims. From this view, you will see all of the services that are pending submission. From this screen, all pending claims can be selected at once by clicking the check box at the top left.
What is box 30 in CMS 1500?
Box 30 - Reserved for NUCC Use.
Do you use 95 or GT modifier for telehealth?
The two most commonly used modifiers are the GT modifier for telehealth service rendered via interactive audio and video telecommunications systems, and the 95 modifier for synchronous telemedicine service rendered via a real-time interactive audio and video communications system.
What is the difference between telehealth and telemedicine?
While telemedicine refers specifically to remote clinical services, telehealth can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services. There are several other ways to define telehealth.
Will Medicare pay for telehealth in 2025?
Medicare patients can receive telehealth services for non-behavioral/mental health care in their home through March 31, 2025. There are no geographic restrictions for originating site for Medicare non-behavioral/mental telehealth services through March 31, 2025.
What does box 31 in CMS 1500 form represent?
What is it? Box 31 indicates that the rendering provider has authorized the information on the claim form is correct. Enter "Signature on File," "SOF," or use the actual signature of the provider, including the credentials.
Can box 33 on cms1500 be a PO box?
Paper. On the CMS-1500 claim form, you will notice that there is not a box for Pay-To Address. If the insurance company you are billing allows you to use a P.O. Box for billing/payment, you can force the Pay-To Address into Box 33. Navigate to Billing > Insurance List.
What is box 32 on a HCFA?
If you are seeing patients outside of your normal office location, the service location address must be disclosed in box 32 of the HCFA 1500 form, along with the POS code that coordinates with the service location.