Jane's Guide Here's all the help you need to use Jane.

Box 31

Signature of Provider & Provider Credentials

What’s in the box?

The first part of this box contains the credentials and name/signature of the rendering provider. By including their name, the rendering provider certifies that the information in the claim is correct. The second part includes the date that the form was signed.

Where does this info live in Jane?

The rendering provider’s first name, last name, prefix, and credentials are used to populate this box. This information can be found in a Staff Profile’s Edit/Settings area.

The rendering provider is typically the staff member who the patient is booked in with, but not always (see the Billing Under a Different Staff Member section below for more info).

The date the CMS1500 form is generated is the date that will be used in box 31 by default.

Billing a Under a Different Staff Member

If you need to bill a claim under a different provider, then you’ll need to change the staff member receiving compensation for the Purchase. By default, the staff member receiving compensation will be the staff member with whom the patient is booked.

For example, let’s say that Andy is a student practicing under Susan. Some visits are booked in Andy’s Schedule, but we need to bill claims for those appointments under Susan’s credentials.

For each Insured visit in Andy’s Schedule, we’ll need to edit the Purchase and change the staff member receiving compensation from Andy to Susan.

To do this, you can hover your mouse over the Billing Info section of the Appointment Panel and click the blue View button that appears. This will lead you to the Purchase screen, where you can use the blue Change text next to the Staff Member’s name to switch Practitioners.

Keep in mind that making this change will also affect your Reports. For example, each visit where the staff member receiving compensation is changed will show up under Susan’s Sales and Compensation Reports (instead of Andy’s).

Is this required?

A first name and last name are required for all staff members in Jane, but the prefix and credentials/suffix are optional. Only enter a prefix or credentials if required by the Insurer(s) you support. Please note that these fields affect other patient-facing areas of Jane.


How and where it’s used in EDI files:

The rendering provider’s first name and last name are included in Loop 2310B - Rendering Provider info.

Specifically:

  • The rendering provider’s last name is sent in Loop 2310B, Segment NM103
  • The rendering provider’s first name is sent in Loop 2310B, Segment NM104

Note: the rendering provider’s prefix and credentials/suffix are not included on EDI files generated in Jane. Likewise, there isn’t an equivalent field on the EDI that represents the date in box 31 on the CMS1500.