Box 65a, 65b, 65c - Employer Name

Box Definition

Boxes 65a, 65b, and 65c on the UB-04 are where the employer names are displayed for each insurance policy.

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

In AveaOffice

The employer name is not editable in AveaOffice.

EDI Loop/Segment

Loop 2320