This lesson describes the work flow for adding a Referring Provider NPI in Block 17b on the CMS 1500 claim.

Note: If an Internal Provider must be listed as the Referring Provider on a claim, the Internal Provider must be added to the Contacts Manager as well.

This lesson describes the work flow for adding a legacy ID for a Referring Provider in Block 17a onto the CMS 1500 claim.

Note: If an Internal Provider must be listed as the Referring Provider on a claim AND must have an additional code/Legacy ID, other than an NPI indicated the Internal Provider must be added to the Contacts Manager as well. Follow the instructions below to indicate the Legacy ID for a Contact.

This lesson describes the work flow for adding a Referring Provider in Block 17 onto the CMS 1500 claim.

Note: If an Internal Provider must be listed as the Referring Provider on a claim, the Internal Provider must be added to the Contacts Manager as well.

If the patient has had the same or similar illness, give the first date of illness. Loop 2300, Segment/Data Element DTP01, DTP03

Insured's or Authorized Person's Signature