Box 33 - Billing Provider Info and Ph#

Box Number

Box 33 shows the billing provider's name, address, and phone number.

In Kipu RCM

The billing provider information is managed under the Insurance Billing tab within the Practice Admin section. For more information on updating the tax ID, click here. 

EDI Loop/Segment

Loop 2000AA, Segment NM103 (Last Name or Organization Name), NM104 (First Name), NM105 (Middle Name/Initial), NM107 (Suffix), N301 (Street Address), N302 (Street Address 2), N401 (City), N402 (State), N403 (ZIP Code), PER04 (Phone Number). For additional information on loops and segments, click here.