Box 64a, 64b, 64c - Document Control Number

Box Definition 

Boxes 64a, 64b, and 64c on the UB-04 are where the document control numbers (DCNs) are shown. This number can also be called the Internal Control Number (ICN).

In Kipu RCM

Let's review how to update Box 64 a/b/c in the RCM!

• The ICN will only be included with corrected claims or voids and can be altered during the correction process. For more information, click here. 
• The ICN can be altered on a claim before submitting it using our Claim Edits feature. To learn more about this feature, click here.

EDI Loop and Segment

Loop 2300, Segment REF/F8/02. For additional information on loops and segments, click here.