Click the Create New Facility button.

Steps 1-5 identifies the Place of Service-Block 32

1. The commonly known Facility Name.

2. Legal Name of the facility. (block 32)

3. Physical address of the facility. (block 32)

4. City, State and Zip of the facility. (Block 32)

5. Clinic Phone number.

6. NPI number assigned to the facility. (Block 32a)

7. Place of Service this selection specifies the code that is placed on claims (Block 24B) identifying the type of facility.

8. Phone number for Billing Inquiries. This number will appear on Patient Statements, Receipts, etc. for billing questions

9. Clinic CLIA number

10. Press Update to save