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Box 58a/b/c - Insured's Name

  • Updated

Box Definition

Boxes 58a, 58b, and 58c on the UB-04 are where the insured's (subscribers) name is shown.

  • A - Primary
  • B - Secondary
  • C - Tertiary

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In Kipu RCM

  • If the patient is the subscriber, clicking on the Patient Profile section of a treatment episode allows you to manage the patient's name. For more information on managing patient demographics, click here. 
  • If the subscriber differs from the patient, the name can be updated within the Policy Holder section of the patient's profile. For more information on updating the policyholder information, click here. 

EDI Loop/Segment

Loop 2010BA, Segment NM1, Qualifier IL. For more information on loops and segments, click here. 

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