Box 4 - Insured's Name

  • Updated

Box Definition

Box 4 on the CMS-1500 Form is where the Insured's name is entered as shown on their insurance ID card.




In AveaOffice

To change the insured's name on the claim form:

  1. Navigate to the Patient's Profile.
  2. Select Edit.Profile Edit.png
  3. Edit the Patient's First and Last Name.Name Edit.png
  4. Select Save.

EDI Loop/Segment

Loop 2010BA, Segment NM1

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