Box 63a, 63b, 63c - Treatment Authorization Codes

Box Definition

Boxes 63a, 63b, and 63c on the UB-04 are where the treatment authorization codes are shown.

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


In AveaOffice

To change the authorization number on the claim form:

  1. Navigate to the patient's Scheduling and Utilization > U/R tab. mceclip1.png
  2. Click Edit for the U/R plan for the dates of the claim that need to be edited. mceclip2.png
  3. Edit the Authorization Number.
  4. Click Save.


EDI Loop/Segment

Loop 2300, Segment REF/G1/02

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