Box 31 - Signature of Physician or Supplier Including Degrees or Credentials

Box Definition

Box 31 on the CMS-1500 indicates that the rendering provider has authorized the information on the claim form to be correct. The date the claim was created is the date used in this field.

In Kipu RCM

The Rendering Provider for standalone services is selected when a new service has been recorded in the Attendance calendar. For information on updating a previously recorded service, click here. 

Claim Rules

A Claim Form Rule is available to change the rendering provider type in this box and resolve claim-related rejections. For more information on this rule, click here.

EDI Loop/Segment

Loop 2300, Segment CLM06.  For additional information on loops and segments, click here.