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Box 32

Box 32 - Service Facility Location Info

What’s in the box?

This box holds the Name, Address, and Zip code of the location where the services were rendered.

Where does this info live in Jane?

Jane uses a combination of information that’s present in Settings → Clinic Info & Locations to populate box 32. There are three lines in box 32:

Line 1

This line is the Name and Location Name of your Clinic. Both of these are pulled from Settings> Clinic Info & Location. The Name is what you’ve entered in that field under Clinic Info. The Location Name is what you’ve entered in the Name field under Location. To adjust the Location Name, you can use the Edit button next to your Location.

Lines 2 & 3

Lines 2 and 3 are pulled from the Location Address found in Settings> Clinic Info & Location> Edit Location. You can also set a Billing Address in this area, but this will not appear on the CMS1500.

Is this required?

  • The Service Facility Location Name, Address, and Zip Code are required in Jane. This information may not be required by the Insurer (on the CMS1500), but at this time Jane will always transfer this info to box 32.
  • The Service Facility Location Name, Address, and Zip Code are required in order to generate an EDI in Jane.

What about the EDI file?

Service Facility information is sent in Loop 2310C - Service Facility Location.

However, Line 1 of box 32 is configured differently on the EDI file than it is on the CMS1500. Lines 2 & 3 use the same information as the CMS1500 as outlined above.

Line 1:

Instead of using a combination of information that’s present in Settings → Clinic Info & Locations, Jane uses the sale location Billing Legal Name for the name of the Service Facility Location.

The Service Facility Name is sent in Loop 2310C, Segment NM103.

Lines 2 & 3:

As with the CMS1500, Jane uses the location (non-billing) address of the sale location for the Service Facility Address and Zip Code. The address is sent in Loop 2310C, Segments N3 and N4.

  • The Street Address Line 1 is sent in Loop 2310C, Segment N301
    • Note that if the Second Address Line is filled out in the location, it will be sent in Loop 2310C, Segment N302.
  • The City is sent in Loop 2310C, Segment N401
  • The State is sent in Loop 2310C, Segment N402
  • The Zip Code is sent in Loop 2310C, Segment N403


 

Box 32a - Service Facility NPI

What’s in the box?

This box indicates the NPI of the facility where the service(s) was performed.

Where does this info live in Jane?

The NPI of the Location of the service/sale will be set in box 32a for all claim submissions. You can set your Location NPI by heading into Settings > Clinic Info & Locations > Edit Location.

Is this required?

  • The Service Facility Location Name, Address, and Zip Code are required in Jane. This information may not be required by the Insurer (on the CMS1500), but at this time Jane will always transfer this info to box 32.
  • The Service Facility NPI is required in order to generate an EDI in Jane.

What about the EDI file?

The Service Facility NPI is sent in Loop 2310C - Service Facility Location.

  • The NPI is sent in Loop 2310C, Segment NM109.
    • Note that the qualifier that denotes an NPI (‘XX’) is sent in Loop 2310C, Segment NM108.
  • The qualifier ‘77’, which means Service Location, is sent in Loop 2310C, Segment NM102


 

Box 32b - Service Facility Secondary ID

What’s in the box?

A secondary ID number (non-NPI) to help identify the Service Facility Location. Typically a provider’s State License Number, Provider Commercial Number, or Location Number.

Where does this info live in Jane?

This box is not currently supported in Jane. If you need a secondary ID number in box 32b, please let us know!