Box 65a/b/c - 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 Kipu RCM

The employer name is not editable in Kipu RCM.

EDI Loop/Segment

Loop 2320. For additional information on loops and segments, click here.