Box 3b - Medical Record Number

Box Definition

Box 3b on the UB-04 claim form displays the patient's Medical Record Number.

In AveaOffice

To update the Medical Record Number on the claim form:

1. Navigate to the Patient > Treatment Episode > Intake using the Quick Link.
2. Under Intake > Patient Profile, select the Edit button.
   
3. Once you have updated the Medical Record Number, select Save to update the system.
   
   
4. Note: If a Medical Record Number is altered after claims have been submitted, Corrections will be required. If the claims do not need to be sent to the Payer, use the Mark as Submitted button to update the Claims within the system only. 

EDI Loop/Segment

Loop 2300, Segment REF/EA/02