Box Definition
Box 76 on the UB-04 claim form displays the Attending Provider's first and last name and identifiers (NPI and Taxonomy).
In AveaOffice
To change the Attending Provider on the UB-04 claim form:
- Navigate to Attendance.
- Select the date range.
- Select the "lock" symbol on the treatment to unsubmit.
- Select the "Edit" pencil symbol.
- Update the Rendering Provider dropdown
- Select "Save".
EDI Loop/Segment
Loop 2310A, Segment NM1/71/09
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