Box 11c - Insurance Plan Name or Program Name

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Box Definition

Box 11c is the name of the insured's insurance plan or program.

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In Kipu RCM

The RCM will use the payer's name in this box, not the actual plan name. The patient's insurance plan information is managed within Intake > Insurance > Insurance Set of the patient's treatment episode. For more information on managing insurance information, click here.

EDI Loop/Segment

Loop 2000B, Segment SBR04. For more information on loops and segments, click here

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