...
The Legacy number will then be pulled from the Referrals Reference under the Provider IDs tab and the related field (such as Medicare, Medicaid, and so on).
...
...
Box 17b - Referring Provider NPI Number
This field pulls from the National Provider ID (NPI) field found under the Provider IDs tab of the Referral Reference. This information will populate this field when the Referral is entered in the charge window.
...
This box will only populate when using the CMS 1500 (02/12) NPI and Legacy form AND the "Leave 24 I/J Blank" checkbox is unchecked in References > Insurance Companies > Claims Tab.This information pulls from the Qualifier Code (box 24) that is selected in the menu under the Provider IDs tab of the Insurance Company Reference. When this is set to "Automatic", the two digit code based on the Plan Type menu selection in the Insurance Company Reference will be printed.
...
...
Box 24j - Rendering Provider Numbers
The shaded area for this box will only print when the CMS 1500 (02/12) NPI and Legacy form is used AND the "Leave 24 I/J Blank" checkbox is unchecked in References > Insurance Companies > Claims Tab. Information is pulled from the Paper ID field under the Provider IDs tab of the Insurance Company Reference.
...
The unshaded area for this box is the Rendering Provider's NPI number. This information is pulled from the National Provider ID (NPI) field under the Claim Credentials tab inside the Provider tab under the User Reference.
...
...
Box 25 - Tax ID
This field pulls from the information entered on the Federal or SSN field found under the Provider Numbers tab of the User Reference. The box for SSN or EIN will have an X in it based on the "Provider Tax ID on Claims" menu found under the Claim Credentials tab inside the Provider tab of the User Reference for the provider.
...
This box populates from the Last, First, and Suffix fields under the User Reference for the provider. The date in this box will be the claim creation date.
...
Box 32 - Office/Facility Information
This field can pull from several different locations:
...