Box 2 - Pay-To Name and Address

Updated May 15, 2025 19:14

Box Definition

Box 2 on the UB-04 claim form displays the Pay-To Name and Address. If the information in Box 1 is different from the information in Box 2, this information will indicate where payment should be sent.

In Kipu RCM

The Pay-To-Name and Address are managed under the Insurance Pay-To tab within the Practice Admin section. For more information on updating the tax ID, click here.

EDI Loop/Segment

Loop 2010AB, Segment N3 & N4. For additional information on loops and segments, click here.

Box 2 - Pay-To Name and Address

Box Definition

In Kipu RCM

EDI Loop/Segment

Was this article helpful?

Comments

<%= previousTitle %>

<%= nextTitle %>

In this article

<%= block.name %>

<% if (block.html_url) { %> <%= block.name %> <% } else { %> <%= block.name %> <% } %>

Categories

Toggle navigation menu

<%= category.name %>

<%= block.name %>