SOAPware Documentation

Recent Updates

Updated on: Dec 07, 2022

Patient Account Number

Manual CMS 1500 New (02/12) Crosswalk

CLM01 Loop 2300 Patient Control Number
Updated on: Dec 07, 2022

Federal Tax I.D. Number

This Federal Tax I.D. number will be placed in Box 25 of the CMS 1500 form.

Manual CMS 1500 New (02/12) Crosswalk

Billing Provider Tax Identification Numver Loop 2010AA REF01 REF02 Reference Identification Qualifier
Updated on: Dec 07, 2022

Rendering Provider NPI

This Rendering Provider ID will be placed in the shaded pink portion of the charge, in box 24J of the claim.

Manual CMS 1500 New (02/12) Crosswalk

Loop 2310B Loop 2420A NM109 Rendering Provider Identifier
Updated on: Dec 07, 2022

Rendering Provider ID

This Rendering Provider ID will be placed in the shaded pink portion of the charge, in box 24J of the claim.

Manual CMS 1500 New (02/12) Crosswalk

Loop 2310B Provider Taxonomy Code PRV03 REF02 Rendering Provider Secondary Identifier
Updated on: Dec 07, 2022

ID Qualifier (for Rendering Provider)

This ID Qualifier will be placed in the shaded pink portion of the charge, in box 24I of the claim.

Manual CMS 1500 New (02/12) Crosswalk

Loop 2310B PRV02 REF01 Reference Identification Qualifier
Updated on: Dec 07, 2022

EPSDT/Family Plan

Manual CMS 1500 New (02/12) Crosswalk

EPSDT Indicator Family Planning Indicator Loop 2400 SV111 SV112
Updated on: Dec 07, 2022

Days or Units

Manual CMS 1500 New (02/12) Crosswalk

Days Loop 2400 Minutes SV104 Unit Count Units
Updated on: Dec 07, 2022

Charges

Manual CMS 1500 New (02/12) Crosswalk

Line Item Charge Amount Loop 2400 SV201
Updated on: Dec 07, 2022

Diagnosis Pointer

Manual CMS 1500 New (02/12) Crosswalk

Diagnosis Code Pointer Loop 2400 SV107 (1-4)
Updated on: Dec 07, 2022

Modifiers

Manual CMS 1500 New (02/12) Crosswalk

Loop 2400 Procedure Modifier SV101 (2-6)