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HCFA-1500 Box 17b - NPI

August 05, 2025

Learn how to correctly populate Box 17b on the HCFA-1500 claim form with the provider's National Provider Identifier (NPI), and how it maps to the X12 837 format.

HCFA-1500 Box 17a - Other ID

August 04, 2025

Learn how to complete Box 17a on the HCFA-1500 form, including common qualifiers like G2 and ID reporting requirements. Understand how this maps to the X12 837 REF segment.

HCFA-1500 Box 17 - Name of Referring Provider or Other Source

August 03, 2025

Learn how to complete HCFA-1500 Box 17, which captures the referring, ordering, or supervising provider’s name. Includes qualifier codes (DN, DK, DQ) and how this maps to the X12 837 electronic format loops 2310A, 2310D, and 2420E.

HCFA-1500 Box 16 - Dates Patient Unable to Work in Current Occupation

August 03, 2025

Learn how to complete Box 16 of the HCFA-1500 form, which reports the dates a patient was unable to work. Includes X12 837 mapping for DTP segments 314, 360, and 361.

HCFA-1500 Box 15 - Other Date

August 03, 2025

Box 15 on the HCFA-1500 form captures additional relevant dates like the initial treatment date or acute manifestation of a chronic condition. Learn how it maps to the X12 837 format.

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