Box 3a - Patient Control Number

Box Definition

Box 3a on the UB-04 claim form is intended to display the RCM-Assigned Claim Number.

In Kipu RCM 

This field is automatically updated with a decimal in the RCM. However, a claim form rule can be created to alter the decimal. To learn more information about the rule, click here. 

EDI Loop/Segment

Loop 2300, Segments CLM01. For additional information on loops and segments, click here.