Box 79 - Other provider NPI, ID, qualifiers, and last and first name

Updated April 01, 2026 18:53

Box Definition

This field reports the name and NPI of the referring rendering provider.

The referring rendering provider setting must be turned on for your organization. If you do not have this feature, please contact support at rcmsupport@kipuhealth.com.

In Kipu RCM

The Utilization Plan for U/R-required services and the Attendance Calendar for standalone services reference the referring rendering provider. Additionally, a Claim Form Rule is available to update the content of this box.

EDI Loop and Segment

Loop 2310C, Segment NM1. For additional information on loops and segments, click here.

Box 79 - Other provider NPI, ID, qualifiers, and last and first name

Box Definition

In Kipu RCM

EDI Loop and Segment

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