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 information for U/R-required services is referenced within the Utilization Plan for the patient and can be updated at any time. However, 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.  

EDI Loop/Segment

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